Enrollment Form For New Members

TENNESSEE ORNITHOLOGICAL SOCIETY

ANNUAL DUES

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

*Life members' 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

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

 
                                                                                                            Gary Lanham
                                                                                                            21 Cool Springs Road
                                                                                                            Signal Mountain, TN 37377