Print this page and mail with your check/money order payable to             

Santa Clara Bird Club PO Box 3466 Santa Clara, CA 95055-3466

Your membership must be paid for 2009!

Click here for information on how to join or renew:
Membership Information

Number of Bands Ordered (check one)

___10 bands - $7.50

___20 bands - $15.00

___30 bands - $22.50

___40 bands - $30.00

___50 bands - $37.50

___60 bands - $45.00

___70 bands - $52.50

___80 bands - $60.00

___90 bands - $67.50

__100 bands - $75.00

Member First & Last Name:___________________________________
as shown on your newsletter mailing label or membership form

Daytime Telephone: (_____)_____________________ 

for order confirmation

Email Address:_____________________________________________

Shipping instructions  (check one)

___ship to the address that my newsletter is sent to

___will pickup at the next club meeting

___other (write in explanation at bottom of this page)

Make check or money order payable to:

Santa Clara Bird Club / SCVCEBC

Mail to:

Santa Clara Bird Club / SCVCEBC
PO Box 3466
Santa Clara, CA 95055-3466

For questions about your order, contact Jose Ozuna, Club Band Secretary bands@santaclarabirdclub.org

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