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Membership Application

Your Name(s):


Your Address:


Phone:
E-mail:
....
Dues

Individual $12
Family $20
Student $7
Sustaining $30

Optional Contributions

Adopt a Bluebird $15
Add'l Contribution



Please fill out and print this form and send it and your check made payable to the RVBC to:
Eunice Hudgins
870 Stonegate Ct.,
Salem, VA 24153-6810
When we receive your check, we will send you a copy of our latest newsletter. In it you will find information about upcoming field trips and meetings. We look forward to having you as a member.

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