Print this page, fill in the blanks, cut out the form, and send it with your check to the address indicated below. Sorry, no electronic submission.
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DuPAGE BIRDING CLUB MEMBERSHIP FORM
Date _________________________
Name ______________________________________________ Phone ___________________
Address _____________________________________________________________________
(Street) (Apt#) (City) (State) (ZIP)
E-mail address (optional) ___________________________________________________
Is this [ ] a new membership?
[ ] a renewal?
[ ] a change of address?
NEW MEMBERS ONLY - joining after
January 1, valid through June:
Type of membership: [ ] Individual, $20.00 [ ] Individual, $10.00/half year
[ ] Family, $30.00 [ ] Family, $15.00/half year
[ ] Student, $10.00 [ ] Student, $5.00/half year
ALL RENEWALS ARE DUE EACH JULY 1.
Newsletter preference: [ ] by regular mail
[ ] by e-mail (PDF file)
[ ] I know some areas well and would be willing to help lead a field trip
there in the future (trip leaders don't have to be expert birders).
Areas ___________________________________________________________________
_________________________________________________________________________
[ ] I am willing to help the Club by serving on a Committee or the Board
Where did you hear about the DuPage Birding Club (new members only)?
_________________________________________________________________________
_________________________________________________________________________
Make check payable to DuPage Birding Club and mail with this form to:
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DuPage Birding Club
Attn: Treasurer
P.O. Box 3381
Glen Ellyn, IL 60138
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