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       New Members Registration                 Current Members Update Your Information 

PLEASE complete and send in.  Then proceed to the 

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The Members First and Last Names*  for the Certificate of Membership. 

Members Current Mailing Address *

City*

State *

Postal Code *

Phone number *

Email Address *

First and Last Names of Youth Member or youth in a Family Membership who wish to participate for Youth Exhibitors Pins and Showmanship Pins.

Do you want to join our Members ONLY Facebook group?

What variety of Phoenix do you raise?

Message

Now proceed to the 

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