Bird Heard Membership Form
Printable version
Date:
Required
Name:
Required
Street:
Required
City:
Required
State:
Required
Email Address:
Newsletter Distribution:
Email
Postal Mail
Pick one
Types of Birds you own:
What activities would you like/expect from the Club:
Dues Amount:
August - $25
September - $25
October - $25
November - $20
December - $20
January - $20
February - $15
March - $15
April - $10
May - $10
June - $5
July - $0
(Typically current month)
Dues and subsequent renewals are due on August 1st of each year.
I do hereby make application to become a member of THE BIRD HEARD Club. I will strive to do any and all things in general for the welfare and prosperity of the club and to maintain a spirit of helpfulness and good friendship between members.
Payment can be made to...
Wendy Ernst
8901 Kimes Street
Silver Spring, MD
20901
...or payment can be made at the next Bird Heard meeting.
