FREDERICK BIRD CLUB 2013-2014 MEMBERSHIP DUES

 

Dues are payable in September of each year, and include Maryland Birdlife magazine, Maryland Yellowthroat newsletter, and membership in the statewide Maryland Ornithological Society.

Please print this form, complete it, and return it with your dues

 

Junior (under 18) $ 5.00 [ ] Individual $25.00 [ ] Family $30.00 [ ]

 

Associate Member (primary membership in another chapter) $ 5.00 [ ]

 

List chapter of primary membership: _______________________


Make check payable to Frederick Bird Club, and mail to

 

Nancy Parker

9014 Mountainberry Circle

Frederick, MD 21702-3403

 

Member Name: ________________________________________

 

Street Address: ________________________________________

 

City, State: ________________________________________

 

Telephone: (_____)__________________________________

 

E-Mail Address: ________________________________________

 

(Email address will be shared with other Frederick Bird Club members, and used as our primary way to communicate within the group. It may also be shared with the Maryland Ornithological Society to provide a less expensive communication option than the US Mail.)

 

Please indicate if you want an official Maryland Ornithological Society 2013-2014 membership card sent to you: [ ] yes [ ] no

 

Thank you!

 

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