Eastern Massachusetts Hawk Watch
Membership Application or Renewal Form
 

Print this page and mail to the address below with your check

Printer Friendly Version

Please Print clearly

Name: _____________________________________

Address: ___________________________________

__________________________________________

Home Phone: ________________________________

Email Address: __________________

New member: ___ Renewal: ___

__ I DO NOT want this information to appear in the EMHW Membership Directory.

Membership runs from Sept. 1 through Aug. 31
__ Supporting $40.00
__ Contributing $25.00
__ Individual $10.00
__ Gift $ _________
Experience level:
Very experienced ___
Intermediate ___
Beginner ___
No experience ___

___Contact me about helping out at hawk watch sites

Please make checks payable to EMHW and mail with this form to:

EMHW
PO Box 663
Newburyport, MA 01950

TOTAL ENCLOSED $_____________ ( Dues and gifts are not tax-deductible)
 

Eastern Massachusetts Hawk Watch, 2008
To contact EMHW, email
scarey@avfx.com
EMHW, PO Box 663, Newburyport, MA 01950
updated 07/20/2008