Eastern Massachusetts Hawk Watch
Membership Application or Renewal Form
 

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Name: _____________________________________

Address: ___________________________________

__________________________________________

Home Phone: ________________________________

Email Address: __________________

New member: ___ Renewal: ___

__ I DO NOT want this information to appear in the EMHW Membership Directory.

(Dues are for 2008 - 2009 membership year, Sept. 1, '08, through Aug. 31, '09)
__ Supporting $40.00
__ Contributing $25.00
__ Individual $10.00
__ Gift $ _________		 Experience level:
 Very experienced ___
Intermediate ___
Beginner ___
No experience ___

___Contact me about helping out at hawk watch sites

Please make checks payable to EMHW and mail with this form to:

EMHW
PO Box 663
Newburyport, MA 01950

TOTAL ENCLOSED $_____________ ( Dues and gifts are not tax-deductible)
 
© Eastern Massachusetts Hawk Watch, 2008
To contact EMHW, email scarey@avfx.com
EMHW, PO Box 663, Newburyport, MA 01950
updated 07/20/2008