MEMBERSHIP APPLICATION
NAME_________________________________________________
ADDRESS______________________________________________
________________________________________________________
PHONE NO.____________________________________________
For Membership 9/1/07 - 9/1/08 - Dues payable Sept 1st
$35 Couple
$25 Individual
$20 Junior
$ 5 Affiliate
Make checks payable to Kent County Bird Club
and send to:
Glenn Dulmage, Treasurer, 207 Valley Road, Chestertown,
Md. 21620