Name:_________________________________
Address:_______________________________
City, State, Zip__________________________
Phone #:_______________________________
E-Mail:________________________________
How did you learn about the NGMC?
___________________________________________
How long have you been raising pigeons?
___________________________________________
What breeds do you raise?
___________________________________________
Please be sure to circle the membership type you are applying for, or highlight and bold the
type if you decide to e-mail it back.
Single Standard Membership: $10.00
Single E-Memebership: $5.00
Standard Family Membership: $15.00
Family E-Membership: $7.50
Junior Membership: $5.00
Junior E-Membership: $2.50
Make checks or money orders payable to
Russ Angulo
Send Payment to:
National German Modena Club
3300 Godfrey Ave.
Gilroy, CA. 95020