Georgia Ornithological Society
Membership Application

Please Print and Mail to:
 
Georgia Ornithological Society
108 W. 8th St.
Louisville, GA 30434

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 (Individual Membership)  $25.00
Quail Covey (Family Membership)  $35.00
Red-cockaded Woodpecker (Patron)  $50.00
Fledgling (Student Only)  $15.00
Northern Goshawk (Individual Life)  $450.00
 
Other Gift amount to the GOS
 
Where did you hear about GOS (festival, current member, nature center, etc)?