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 Cecil Bird Club
  A Chapter of the Maryland Ornithological Society
 
  Promoting birding in northeastern Maryland

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Membership Application

The membership year begins on September 1, but new memberships are accepted at any time.  Those who join later than March 1 should remit half the dues shown below.  Please print this page, fill in the requested information, and mail the completed form with your dues to the Treasurer, Paula Conoscenti, 5 Paca Place, Elkton, MD 21921. Please make checks payable to the Cecil Bird Club.

Name(s)

__________________________________________________________________________

Address

__________________________________________________________________________

City

__________________________________________________________________________

State

___________________________

Zip

____________

Telephone

__________________________________________________________________________

E-mail

__________________________________________________________________________

 

May we publish the information above in the CBC and MOS membership directory? (circle one)

Yes

No

 New Member ____ or Renewal ____

 Choose one of the following categories and remit the dues as shown:

______

Individual

$30 (includes $20 for MOS)

______

Household

$40 (includes $30 for MOS)

______

Sustaining

$75 (includes $50 for MOS)

______

Junior

$10 (includes $5 for MOS)

______

Affiliate

$15 (for members of other MOS chapters) Indicate other chapter_________________

 

 

 

Thanks for joining us!

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last updated  12/06/16