Application Form
New Members Welcome!
Annual dues: Individual $10
Family $15.00 (living in same household)
Memberships expire December 31st.
_________________________________
_________________________________
_________________________________
Name(s)
_________________________________
Address
_________________________________
City
_________________________________
State and Zip Code
________________________________
Home Phone
________________________________
Cell Phone
________________________________
email
_______________________________
Donation may be earmarked to specific project
Make checks payable to:
Thunder Bay Audubon Society
Mail form and check to:
Treasurer
Thunder Bay Audubon Society
6511 S. Leer Road
Lachine, MI 49753
New Members Welcome!
Annual dues: Individual $10
Family $15.00 (living in same household)
Memberships expire December 31st.
_________________________________
_________________________________
_________________________________
Name(s)
_________________________________
Address
_________________________________
City
_________________________________
State and Zip Code
________________________________
Home Phone
________________________________
Cell Phone
________________________________
_______________________________
Donation may be earmarked to specific project
Make checks payable to:
Thunder Bay Audubon Society
Mail form and check to:
Treasurer
Thunder Bay Audubon Society
6511 S. Leer Road
Lachine, MI 49753