BALTIMORE BIRD CLUB APPLICATION

       NAME__________________________________________________________

       ADDRESS_______________________________________________________

       ________________________________________ZIP___________________


       PHONE____________________________AGE OF JUNIOR MEMBER_________

       E-MAIL_______________________________________________________

       MEMBERSHIP CATEGORY_____________________________DUES $________

            I WOULD BE WILLING TO HELP WITH:  Leading Bird Walks____;

            Hospitality_____; Newsletter_____; Publicity_____;

            Leading School Groups_____; Other________________________

            Check if you wish to receive conservation alerts. _______

            _________________________________________________________


                                      ONE      HALF    CHAPTER
              DUES CATEGORY           YEAR     YEAR     ONLY*
              Individual             $35.00   $17.50   $15.00
              Household              $45.00   $22.50   $20.00
              Sustaining            $100.00   $50.00   $50.00
              Junior (through 17)    $10.00    $5.00    $5.00

         Membership year is September 1 through August 31.
         Individual and Household members joining in February, March,
         or April may pay the half-year rate.  A full year's dues
         received after April 30 will be applied to the next
         membership year.

         *Chapter Only membership is available only to MOS members
         who are already members of another MOS chapter or who are
         MOS life members.

Mail your completed application with your check payable to Baltimore Bird Club to Membership Secretary Baltimore Bird Club 4915 Greenspring Avenue Baltimore, MD 21209

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