Membership Application

Select An Option

Associate: Provides products or services to other categories - such as packaging, transportation, ma

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Retailers/Franchisors/Hardware & Department Stores: Sells products of Packers or Feeder/Accessories

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Start Up: Fits in any category, but has been in business for less than a year or is still in a start

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Ambassador: Group or individual helping to promote educational, bird conservation, and industry prom

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Alternative Feeds: Suet, Seed Cakes & Bells, Nectar, Dried Black Soldier Fly Larvae, Mealworms

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Distributor: Acts as an agent for other membership categories

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Feeder/Accessories: Manufactures bird feeders or other hard goods

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Packer: Packages wild bird seed for sale to consumers

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Processor: Clean seed and provide to packers

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Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

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