Texas Ornithological Society Membership ApplicationName
| _______________________________________ | Address
| _______________________________________ | | | _______________________________________ | City
| ________________________________________ | | State | _______________________________________ | Zip
| _______________________________________ | Phone #
| _______________________________________ | E-Mail
| _______________________________________ | Check one:
| ( ) New - ( ) Renewal - ( ) Gift
| | | | Check one:
| ( ) Student - $15 ( ) Active - $25 | | | ( ) Family - $35 ( ) Sustaining - $50
| | | ( ) Life -$400 ( ) Life w/Spuse- $500
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Fill out this form and mail to: Texas Ornithological Society Memberships PMB #189 6338 N. New Braunfels Ave. San Antonio, TX 78209 Please make checks payable to: Texas Ornithological Society
T.O.S. is a 501c(3) Charitable Tax-exempt Corporation
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