Georgia Ornithological Society
Membership Application

Please Print and Mail to:
 
Georgia Ornithological Society
198 Ponce de Leon Ave, Unit 7C
Atlanta, GA 30308

Please enroll the undersigned as a member of the
Georgia Ornithological Society for the calendar year.
Name(s):
Address:
 
City:

State:

Zip:

Phone:

email:
Dues are enclosed as follows (please choose a membership level):
  Annual rates for individuals and families:
Bachman's Sparrow (Regular)  $20.00
Red-cockaded Woodpecker (Sustaining)  $30.00
Northern Bobwhite (Patron)  $50.00
Fledgling (Student)  $10.00
  Rates for individuals and couples only:
Northern Goshawk (Life)  $400.00
 
Other Gift amount to the GOS
 
Where did you hear about GOS (festival, current member, nature center, etc)?