Essex County Ornithological Club Membership Form

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To join, renew or purchase decals print the following form, fill it out and mail it with your check.

Please make checks payable to “E.C.O.C.” Send payments to:

Jay Moore
12 Higgins Rd.
Marblehead, MA 01945


_________ I/we would like to renew our membership to ECOC.

Enclosed is a total of $__________ for membership dues.

$12.00 for Individual -- $15.00 for Household -- $250. for Life Membership

plus a contribution of $__________ to help support special ECOC events and speaker honoraria.

_________ additional Club Decal: $1.00 each $_________

(Please enclose a self-addressed, stamped envelope for the delivery of your decals)

_________ check here if you are a new member.



Name(s): ____________________________________________________



Address: _____________________________________________________

____________________________________________________________

____________________________________________________________



Phone number: ________________________________________________

e-mail address: _______________________________________________


Comments/suggestions:

Membership runs from October 1 to September 30