Name(s):
Complete Mailing Address:
Email Address: (Optional)
Telephone: (Optional)
Varieties of Peafowl Owned and any Additional Comments and Information: (Optional)

U.S. $30.00/year $56.00/2 years
Canada $35.00/year $66.00/2 years
Overseas $40.00/year $76.00/2 years

Please submit check or money order in U.S. funds.

Send payment to: United Peafowl Association, Inc.
P.O. Box 162
Greens Fork, IN 47345-0162

I want to be included in the Membership Directory: Yes_____ No_____

I want to be included in the online Breeders Directory ($20.00 fee): Yes_____ No____