OHIO BLUEBIRD SOCIETY

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Ohio Bluebird Society Membership Application

   
         

Name:

 

__________________________

  Print this form,
mail the completed
form/check to:

Ohio Bluebird Society
PMB 111
343 W Milltown Road
Wooster, OH 44691

Address:

 

__________________________

 

City/State/Zip:

 

__________________________

 

County

 

__________________________

 

Phone:

 

__________________________

 
Email:   __________________________    
         

Membership Class

 

Annual Dues

3 Year Dues

   

Student (under 21)

 

$10

$25

 

Senior/Senior Family

 

$12

$30

 

Regular/Family

 

$15

$40

 

Organizational

 

$40

$110

 

Supporting

 

$100

$275

 

Life

 

$300

   

Membership includes a subscription to the quarterly OBS Journal The Bluebird Monitor.

 

Tax Deductible gift to OBS $________________
 

      a 501(c)(3) Organization

Please let us know if you are interested in participating in
OBS activities.