Allen Bird Club
Springfield, Massachusetts

Individual Membership . . . . . . . . ($12) . . . . . . . $ ___________

Family Membership . . . . . . . . . . ($16) . . . . . . . $ ___________

Supporting Membership . . . . . . .($25) . . . . . . . $ ___________

Return with check payable to The Allen Bird Club

To: Joe Wojtanowski
P.O. Box 142
Poquonock, CT 06064-0142

Name: ________________________

Address: ______________________

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