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To join, print the following form, fill it
out and mail it with a check payable to: Brookline Bird Club to:
For Membership questions please send a note
to
Diana
Fruguglietti
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Diana Fruguglietti
5 Ellen Rd
Woburn, MA 01801-2209
Name:_________________________________
Phone:_____________________
Family - Additional
Names____________________________________________
Address__________________________________________________________
City:_______________________
State:________ Zip Code:_________-_______
9 digit zip code please
E-mail
Address:_____________________________________________________
Is this a new membership?:_____________
Or a renewal?:____________________
How did you hear of the BBC? (check
one)
BBC Home Page_____ MassBird_____
Friend_____ Other_____
Indicate amount enclosed:
2008 Annual Dues ($15.00 individual - $22.00 Family) __________
Life ($200.00) __________
Additional BBC Decal* – ($1.00 plus
self-addressed, stamped envelope) __________
BBC Pin – ($6.00 each $5.00 + $1.00
postage) __________
Gift to Club** – (tax deductible) __________
BBC School Book Fund** (tax deductible) __________
Total Enclosed:
__________
* One BBC Decal comes with new
membership. - Membership runs from January to December
** If your company has a matching gift program, please
include the filled out form with your membership
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