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Join the DPHC

Are you ready to join the ranks of Michigan's largest and oldest Parrothead Club? Great! You can start by filling out the online application to your right, or if you prefer, you can fill out the following hardcopy application and mail it in.

Membership
Application

Membership Application
Membership Type:  
New Membership   Renewal
 
Primary Member
Full Name:  
Name on Nametag:  
Occupation:  
Email Address:  
Birthday (mm/dd):  
 
2nd Member (Joint)
Full Name:  
Name on Nametag:  
Occupation:  
Email Address:  
Birthday (mm/dd):  
 
Address Line 1:  
Address Line 2:  
City:  
State:  
ZIP Code:  
Phone:  
 
What special talents or resources
do you have that would help the club?
 
I am intersted in helping with the following activities:
Parties Bar/Restaurant
Concerts House Parties
Road Trips Host Events
Charter Tours Write Newsletter
Location Hunting Service/Charity
 
Other Hobbies and Interests:
 
How Did You Hear
About the Club?		  
Sponsored/Referred By:  
Email Updates?   Yes   No
 
Annual Dues
$25.00 for a Single Membership or $30.00 for a Joint Membership. Dues are not deductible as a charitable contribution for Federal Income Tax Purposes.
Payment Type:  
 
By submitting this application, you agree to the following:
Each member of The Detroit Parrothead Club is responsible for his or her own actions and behavior, whether negative or positive. Membership in the club does not give the a member permission to use Jimmy Buffett's name, song titles, lyrics, names of businesses or other trademarked, copyrighted or reserved material owned by Jimmy Buffett; ("Margaritaville, Parrot Head(s), Parrothead(s), Parrot Head Club, Parrothead Club and PHC are registered trademarks of Margaritaville, Inc.") Since Parrotheads are known to enjoy a few, we support using a designated driver.
 
 Mute