Southwest Virginia Bird Club

Membership Application

Name:
Address:
City: ZIP: State:
Date: Phone: E-Mail:

Membership entitles you to a newsletter, access to club library, and other club sponsered projects.

Annual Membership Category: __ Single ($15) __ Family ($20)

Specific Interests and Bird Types:

Please mail to:

Southwest Virginia Bird Club
P.O. Box 7243
Roanoke, VA 24019

(Make checks payable to Southwest Virginia Bird Club)