FORBUSH BIRD CLUB MEMBERSHIP APPLICATION

Individual$10 Membership in the Forbush Bird Club is available at these levels of support. Dues cover the fiscal year from April 1 through March 31.
Family$15
Life$200
Student$5
Patron$20

To join the club, please print out this form, fill in your name and address below, and circle the membership level that you desire. Make your check payable to the Forbush Bird Club, and send the completed form to the club Treasurer:

Barton Kamp
43 Zenith Drive
Worcester, MA 01602

If you need more membership information please contact Barton Kamp at (508) 753-7463. 

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Name ________________________________________

Address _____________________________________

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Email ________________________________________



Amount enclosed: ______________


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