Oriental Bird Club subscription form (US check or money order)

Name of member:

Address/zipcode:

Email address:

Select membership category:

Individual membership: US$25
Family membership: US$32
Libraries/Academic institutions: US$41
Supporting membership, supporting the honorary membership scheme: US$41

Subscriptions run from 1 January each year. Which year is subscription to start?.....

Subscription is to run for how many years?.....

Total amount payable:.....

Please make check or money order payable to Oriental Bird Club.

Please print the form and send completed with your payment to:
Oriental Bird Club, c/o Dr Robert S Kennedy, Director of Natural Sciences, Maria Mitchell Association, 4 Vestal Street, Nantucket, MA 02554, USA.

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