Natchaug Ornithological Society
Application for New Membership or Renewal
City: ___________________________________ State: _________ Zip: ___________
E-mail address: ________________________________________________________
Would you like the above information published on the NOS home page?
No_____ All info_____ Name only_____ Name/phone_____ Name/e-mail_____
Would you like to be added to the NOS e-mail list? yes_____ no_____
Would you like to participate in the Rare Bird Alert? yes_____ no_____
Make check payable to: Natchaug Ornithological Society
Mail membership form to: Natchaug Ornithological Society, PO Box 192, Mansfield Center, CT 06250
Please print this form and return it with your check to the address above.