Parrot
Heads of the Triad
Parrot
Heads of the Triad
Membership Application
Date:____________
Name:_________________________________ Spouse:_____________________________
Street Address:_____________________________________________________________
City, State, Zip: _____________________________________________________________
Phone: ____________________________ Other Phone: ___________________________
Email(s): ___________________________________________________________________
Birthday:________________________ Spouse Birthday:____________________________
Occupation: ________________________ Spouse’s Occupation:______________________
Favorite Charity:_____________________________________________________________
I would like to volunteer with club administration and/or events___________
It is okay to include my phone number & address on the club directory for members only
Yes______ No_______
I have read and understand the guidelines of the Parrot Heads of the Triad __________
How did you hear about the club?_____________________________________________
Occasionally we post photos on our website. It is okay to post my picture if applicable.
Yes______ No______
If you require special services or handicap access check here __________
Please see DUES Schedule on next page. Make checks payable to Parrot Heads of the Triad and return to:
Treasurer
Parrot Heads of the Triad
3750 Squirewood Drive
Clemmons, NC 27012
Club hotlines: (336) 922-9403 or (336) 672-2453
Club website: www.phoftriad.org
Club email: TriadPHNews@aol.com
The Parrot Heads of the Triad is an officially chartered club sanctioned by Parrot Heads in Paradise. The Parrot Heads of the Triad embrace the following statement of purpose: “The local Parrot Head Clubs are not for profit organizations whose purposes are to provide a variety of social activities for people with similar taste and interests and to assist in local community and environmental concerns.” Any money or items given to the club for charitable or membership reasons are not deductible as a charitable contribution for federal income tax purposes.
Schedule of Dues
Annual membership begins on March 1 and continues through February 28 of the following year. Renewals are due every March. In order to remain a member in good standing, membership dues must be paid by March 31 of each year.
| Household |
Individual |
|
| March | $ 36.00 | $ 25.00 |
| April | $ 33.00 | $ 23.00 |
| May | $ 30.00 | $ 21.00 |
| June | $ 27.00 | $ 19.00 |
| July | $ 24.00 | $ 17.00 |
| August | $ 21.00 | $ 15.00 |
| September | $ 18.00 | $ 13.00 |
| October | $ 15.00 | $ 11.00 |
| November | $ 12.00 | $ 9.00 |
| December | $ 9.00 | $ 7.00 |
| January | $ 6.00 | $ 5.00 |
| February | $ 3.00 | $ 3.00 |
New members will receive a New Member Packet consisting of a special “Parrot Head” lanyard and membership badge plus:
Welcome to our Phlock!!
The terms Jimmy Buffett, Margaritaville, Parrot Head Club, and PHC are registered trademarks of Margaritaville, Inc.