Allen Bird Club
Springfield, Massachusetts
Individual Membership . . . . . . . . ($12) . . . . . . . $ ___________
Family Membership . . . . . . . . . . ($16) . . . . . . . $ ___________
Supporting Membership . . . . . . .($25) . . . . . . . $ ___________
Return with check payable to The Allen Bird Club
To: Douglas James
936 Granville Rd
Westfield MA 01085Name: ________________________
Address: ______________________
______________________________
Phone: _______________________
E-Mail: _______________________