MEMBERSHIP APPLICATION
Shreveport Society for Nature Study, Inc.
BIRD STUDY GROUP
318-797-5338
E-mail:
Please print this page, complete items listed in table below, and enclose check for desired level of membeship.
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
E-mail address(es):
Do you wish to be added to the Bird Alert Service?
(e-mail notification of bird sightings - requires e-mail address above)
Yes
No
(Please check one)
Do you wish to be included in the Membership Directory?
(periodically published members only directory)
Yes
No
(Please check one)
How did you find out about us?
Phone Book
Bumper Sticker
Newspaper
Web Site
Word-of-mouth
Newsletter
Magazine
Other
Membership Level Desired:
Individual $15.00
Family $20.00
Sustaining $35.00
(Please check one)
Donation Use Designation:
Library
Refuges
Refreshments
Where most needed
(Please check one)
Make checks payable to:
SSNS- Bird Study Group
Mail applications to:
SSNS-Bird Study Group
One University Place
Shreveport, LA 71115-2399
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