___ I wish to become a member. Annual membership dues enclosed. ___ Please call with further information Name__________________________________________________________ Address________________________________________________________ City___________________________State______________Zip___________ Telephone_______________________ E-mail__________________________ For family memberships please list the names of additional family members (spouse and children under 18) to be included. Spouse______________________________________ Children (name and age)_____________________________________________________________________ Annual Membership Dues - $15.00 individual, $20.00 family. Make check payable to: Erie Shores Birding Association, P.O. Box 272, Monroe, MI 48161 |