Registration for participation of ASSA Bird Sale 16 May 2010

Name: ……………………………………..………......................................................

Address: …………………………………………..….……………………….....……….

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Phone:…………………………………………

Email:……………………………………………

Note: Please provide a phone number or Email address for registration confirmation.

 

ASSA member Y / N .

NPWS Permit Number: ………………………..…….

Details of birds benched for sale:

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Site number: …………………..                                Number of birds:………

 

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