New York State Ornithological Association
  Individual Membership Application/Renewal

 
Please print this form, fill it out, and mail it, with your check, to:

 
NYSOA, Inc.
P. O. Box 95
Durhamville, NY 13054
Please make your check payable to New York State Ornithological Association, Inc., in U.S. funds.

  Check here if this is a renewal
Please enroll me as a member of the New York State Ornithological Association, Inc.
(All memberships include the quarterly journal The Kingbird and the New York Birders newsletter.)
Name ___________________________________________  Date____________
Street ____________________________________________________________
City ______________________________________ State______ Zip __________
E-mail ____________________________________________________________
  Check here and include your e-mail address above if you would like instructions for subscribing to Birds of North America Online at the special NYSOA discounted  rate of $25 per year (regular rate is $40 per year).
I belong to the following bird club(s) and nature-related organization(s) in New York State:

         _____________________________________________________________________

         _____________________________________________________________________
(Please write the name(s) of your club(s)/organization(s) on the lines above)

Decal
3.25" Static Cling Window Decal
$1.00 each
Checklist
 
Checklist of the Birds
of New York State

2007 ed.
1-10 copies $2.00 each
11 or more $1.50 each
Membership Type (Check One)
  Individual membership
Family membership
Supporting membership
Contributing membership
The Kingbird Club
Student membership
Life membership
$22.00
$25.00
$30.00
$50.00
$100.00
$12.00
$900.00
Membership Dues: 
 
NYS Bird Checklist (see prices above)
Quantity:
   
Window Decal, $1.00 each
Quantity:
   
Outside the US, please add $8.00 to cover additional postage costs.
 
Total Enclosed