Enrollment Form For New Members

TENNESSEE ORNITHOLOGICAL SOCIETY

ANNUAL DUES

   Sustaining Membership   $40.00
   Family Membership  $32.00
   Life Membership  $460.00
   Active Membership  $28.00
   Student Membership  $15.00
   Contribution  $

*Life members's must pay additional $10.00 local chapter dues each year

All dues and contributions are exempt from Federal income tax under section 501 (c) (3) of the Internal Revenue Code.

Name

Phone

Street

City

State Zip

Email Address

Recieve monthly news letter via email - Requires Adobe Acrobat Reader

 

To become a member fill out this form and mail it along with your check to:

 

Cathy Lockwitz
4525 Lake Haven Drive
Chattanooga, TN 37416