International Modena Club
Established 2003

2010 Membership - Apply by Mail
(USA Resident)

Please click boxes below, type information requested, print completed form, sign and mail  
with check or money order in US Dollars to the address at the bottom:

Any person of good character is eligible to apply for membership to the IMC by meeting the following criteria:

Name:

E-Mail Address:
Spouse:

Address:

Address:

Address:

City &
Province:

State:

Zip Code:
Country:

Phone:

Area Code:
Number:    

Date of Birth:
(Mo/Day/Yr)

//

Membership Dues:
Memberships expire December 31 of the current year and are not prorated.  If you wish to start your membership now they will be due again on January 1.  Membership fees per year may be in any of the following classes:

Individual Membership:

$25.00

 

  1. Individual Membership Inside the US: The individual membership fee for all members within the United States is $25. This fee entitles the member to all rights within the IMC, which includes voting, holding office, participation in all club shows and activities, and all club publications such as The IMC Quarterly. Members are entitled to choose between the option of the hardcopy Quarterly Bulletins and electronic Quarterly Bulletins.
Spouse Membership: 

$10.00

 

  1. Spouse Membership (International or Domestic): Spouses of members in good standing who meet the requirements for individual membership may join the club for a $10 membership fee, but will not be eligible to vote or hold office, and will not receive separate mailings of club information. However, the membership entitles them to attend events and enjoy the other benefits of the club. Spouses who wish to have voting privileges must join under an individual membership and pay the appropriate membership fees.
Junior Membership:

$15.00

 

  1. Junior Membership: Individuals who are 18 years old or younger on January 1 and meet the other requirements for individual membership may join as junior members for a fee of $15, and will be entitled to full individual membership privileges. Any junior member between the ages of 12 and 18 will be allowed full voting rights and privileges.
Affiliated Club Membership:

$25.00

  1. Affiliated Club Membership: Any organization devoted to the Modena pigeon may become a member of the International Modena Club by applying to the Secretary/Treasurer and paying the membership fee of $25 per year. Affiliated Clubs shall not have voting privileges in any IMC election.
Have you been a member of the IMC in the past?
If yes, what was your IMC #?
Do you belong to other pigeon organizations?
If yes, please list them:
Start my membership now!

Upon acceptance, my membership will run through December 31 of the current year.
Start my membership next January 1

My membership will begin January 1 of the coming year.
I want to receive The IMC Quarterly electronically

I will be issued a User Name & Password for online access to The IMC Quarterly.  In addition, I will have access to previous issues.
I want to receive The IMC Quarterly by mail

I will receive my issue of The IMC Quarterly by mail delivery.

I understand and agree to abide by the rules of the IMC and agree to be bound by this membership agreement between the IMC and myself in the future.  If the Board of Directors finds me at fault for not abiding by the IMC Bylaws, I understand my membership privileges may be suspended or terminated as directed by the Board of Directors and I hereby hold the IMC and the Board of Directors harmless.

 Applicant's Signature: _______________________               Date:_____________

This portion to be completed by the International Modena Club:

Date application was received: ______________________________ Approved

Disapproved

Mail Completed Form with Check or Money Order in US Dollars To:

B. Tim Taylor
Secretary/Treasurer
International Modena Club
10032 Goodrich Road
Bloomington, MN 55437-2413 / USA