Membership We would love to have you join the 5 O’ Clock Phlock Parrot Head Club! First Name (required) Last Name (required) Street Address City State Zip Email Address (required) Phone Number (required) Birthday (Example: January 1) Island Name (Example: Tiki Bar Tom) Yes, I have paid for a couple membership and would like my spouse added. We will email you for their name, phone number, email address and birthday. I am interested in assisting the club with the following (check all that apply): CharitiesActivities & EventsHost an EventOrganize an Event or TripWebsite DesignFacebook Posts Do you have a question or comment? And do you any other skills or resources you are willing to volunteer to the 5 O'Clock Phlock? Please list these here. Our yearly membership fees are $20 for a single member, and $30 for couples. We accept PayPal, however you do not need a PayPal account to continue. Credit and Debit Cards are accepted through the PayPal system. Dues are not tax deductible as a charitable donation. © 2012 – 5 O’Clock Phlock Parrot Head Club.