Blue Hen Parrothead Club - Membership Application
Membership Setup
Membership Type:
Individual
Family
Payment Method:
PayPal
Check
Money Order
Primary Member
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Anti Spam - Type 'fins':
Home Phone:
Cell Phone:
Birthdate:
Email Address:
Comments /
Recommendations:
Secondary Member(s)
Name:
Email:
Birthdate:
Name:
Email:
Birthdate:
Name:
Email:
Birthdate:
Please Note: Required fields appear in italics
Legel Stuff:
The Blue Hen Parrot Head Club and Parrotheads In Paradise are not-for-profit organizations whose purposes are to assist in community and environmental concerns and provide a variety of social activities for people of similar interests.
Disclaimer:
We are recognized and supported by Jimmy Buffett and his business interests in Key West, Charleston, Orlando, and New Orleans. We are not associated with HK Management, MCA Records, Island Records, Mailboat Records, or Margaritaville Records. We would like to stress that Mr. Buffett's name, his song titles, lyrics, names of businesses owned by Mr. Buffett and the term "Parrot Head" are all registered trademarks and should not be used for the pursuit of profit. Clubs are allowed to use the term Parrot Head on T-shirts, etc. but not Mr. Buffett's name.
Privacy:
The Blue Hen Parrot Head club will not at any point share or sell your information to anyone. Your email address will not be used for SPAM mail nor will it be shared with anyone. If you have any questions or concerns about the privacy of this information, please send an email to webmaster@bluehenphc.com.