Birdhouse Buying Club
PLEASE SIGN ACKNOWLEDGEMENT: I understand this membership is subject to requirements as set forth by the buying club. I have been notified and understand such requirements. I affirm the information in this application is true and accurate.
Birdhouse Buying Club is committed to guarding its members' personal privacy to the highest degree possible, consistent with legitimate business needs and legal requirements. Protecting the security and privacy of our members is of the utmost importance. BHBC staff will not disclose data supplied by members to anyone at any time.

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Name *
Address *
Contact (phone) *
Contact (email)
City & Zip *
Drivers license # (if you use check)
Weekly or Biweekly pick up *
Are you interested in home delivery for a small fee?
Authorized family/friend for pick up
Who referred you?
Signature *
this is a digital signature - and by writing your name you are adhering that the above is true and you consent to abiding by the BHBC standard procedures  
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