* * * Membership Dues received after November 1st will be
honored for that year and the year following.
NEW MEMBERS WELCOMED ANYTIME!!
Please Enclose Check Made Payable to:
Cattaraugus County Bird Study Club
Regina VanScoy, Treasurer
5557 Nichols Run
Limestone, NY 14753-9714
E-Mail: vanscoy716@outlook.com
___ Individual ($10.00)
___ Family ($15.00)
PLEASE PRINT CLEARLY
Date: _________________
Last Name : ________________ First Name : ________________ MI ____
Street Address _______________________________________________
City: _______________________ State: ________ Zip Code: ___________
Phone : _________________________ Fax: ____________________
Email : _________________________
Cattaraugus County Bird Study Club 