ABS Bands Order Form

Please send me, Quantity________ Year_________ ABS Bands

Name:________________________________________________

Address:______________________________________________

City:________________________________________ State:_______

Zip:____________ Membership Number______________________

Phone Number:___________________________________

E-mail:__________________________________________

Band Code:____________ Numbered______ to _______

Print and mail to:

A.B.S. Secretary, Dinah Moore

521 Westview Street SW

Lenoir, NC  28645

Please make checks payable to “The American Budgerigar Society, Inc.” or to “ABS”, payable in US funds only.