Santa Clara Bird Club Membership Form (Mail-in)                    Or Join Online via PayPal

PO Box 3466 Santa Clara, CA 95055-3466

print, fill out, and mail with a check or money order

Enclosed is $25.00 for the present year, or $12.50 if joining between July and October and have never been a member. Those joining in November or December will be considered paid through the following year. Junior membership for those under 16 is half price.

Type of membership (check one)    Date: _________________

___Regular for 1 year ($25)
___First time member for ½ year, July-October ($12.50)
___Junior for 1 year ($12.50)
___First time Junior for ½ year, July-October ($6)

Name:____________________________________________________________
(List all members included in your membership)

Address:__________________________________________________________
(include City, State, Zip)

Daytime Telephone: (_____)_____________________

Email address:___________________________________________________
 

Make check payable and mail to: Santa Clara Bird Club / SCVCEBC

PO Box 3466 Santa Clara, CA 95055-3466

Interests (optional, check all that apply):

   ___1. Canaries
   ___2. Finches
   ___3. Budgerigars
   ___4. Cockatiels
   ___5. Hookbills
   ___6. General Collection