Dear Friends,

Thank you for affiliating with the American Cockatiel Society. All club affiliation memberships run from January l through December 31 of each year. If your Club affiliated last year, welcome back; if not, we invite you to join. If you have any questions please feel free to contact me.

Affiliation Fees: Within the USA -- $25.00** Canada & Mexico $33.00 **Overseas $40.00**

Your Affiliation benefits include:

l. Club listing in the ACS Magazine and the ACS Web Page (www.acstiels.com) all year.

2. One year of ACS Magazine (4) for your club library

     If your club would not like a copy of the magazine for your library, please check here____

3. Use of a program to print show tags upon request.

4. Listing of your Club's show date, location and ACS Judge in the ACS Magazine and ACS Web Page.

5. Show results listed in the ACS Magazine.

For affiliated clubs that wish to have an A.C.S. affiliated show, a minimum purchase of one Best Novice award and one Best Advance award is required for each show. Your club may host as many shows as they like for the one time fee of $25.00 plus the purchase of a Best Novice and Best Advance award with each show. (Your club may choose Plaques, Cockatiel molds, Paperweights, or Medals for these awards) 

See attached patronage form to report your show information and order these plaques.

CLUB NAME:__________________________________________________________

CONTACT PERSON:____________________________________________________

ADDRESS:_____________________________________________________________

E-MAIL ADDRESS:______________________________________________________
We do not share information with third parties.

TELEPHONE NUMBER:__________________________________________________

Mail this completed application form, along with the proper fee made payable to American Cockatiel Society to:

Cindy Swiler,
A.C.S. Chair for Affiliated Clubs & Patronage
767 Valleyview
Wichita, KS  67212