Please print this form and mail your application and membership fee to:

South Bay Bird Society
P.O. Box 3863
Redondo Beach, CA 90277-3863



SOUTH BAY BIRD SOCIETY MEMBERSHIP APPLICATION


New    Renewal    Former Member

Family $40    Individual $32    Senior (60+) $25   Lifetime $350

  Name(s): ____________________________________________________________________________

  Address: ____________________________________________________________________________

  City, State, Zip: ______________________________________________________________________

  Phone: (            )_____________________  E-mail: _________________________________________

  How did you hear about us? ____________________________________________________________

  To help plan programs and activities, please tell us what kind of birds do you own? (Limit 3)

  ____________________________________________________________________________________

  How long have you been keeping birds? _______________________

  Do you keep birds primarily as   Pets    Breeders    Both