Parrot Education & Adoption Center, a 501(c)(3) organization incorporated in the State of Alaska  

Parrot Education & Adoption Center

Anchorage Chapter

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Blue Front Amazon (photo by Garry J. Wallan) 		  Forms: Seminar Registration

While many of the PEAC seminars are required for adoption, they can also be attended by people in search of information about their companion birds.

Print this page, fill-in the blanks, and return it with your check or credit card information to:

Parrot Education & Adoption Center
P.O. Box 91707
Anchorage, AK 99509-1707
Full Name:  
Mailing Address:  
City, State, ZIP, Country:  
Phone and e-mail:  
Credit card type:   ($20 minimum)       [  ] VISA       [  ] Mastercard       [  ] American Express
Credit card number:
  
Expiration date (MM/YYYY):  
 
 
Date		  
Location and Seminar		 Number
Attending		 Amount
Due
 
 		     $ 
 
 		     $ 
 
 		     $ 
 
 		     $ 
  Total Amount
Enclosed		 $


Seminar fees (per person, per day) IN ADVANCE AT THE DOOR
 PEAC members: FREE $10.00
 Non-members: $10.00 $15.00

Contact PEAC by e-mail at akpeac@gmail.com
Copyright 2002-Present Parrot Education & Adoption Center. All rights reserved.