(print and use this page for your application)
Westmoreland Bird & Nature Club
City, State Zip:_________________________________________________
Phone(s) Voice (optional):_______________________________________
Phone Fax (optional):____________________________________________
Home Page (optional):____________________________________________
To join the Westmoreland Bird & Nature Club please send check
or Money Order, made out to Westmoreland Bird & Nature Club, to:
PO Box 188
New Derry, PA 15671
$7 individual/family. $20 supporting membership.
Include your name and address for the mailing list.
Phone number and other information is optional.
All Membership Dues are due in January, unless you joined after
Enclosed is my payment for membership in the Westmoreland Bird & Nature Club.
Checkmark where appropriate:
____I am a new member
____I am renewing my membership
____I am renewing my membership & my mailing address has changed
How did you hear about the WBNC? _________________________________________
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