Please fill out each section and check your answers
before sending in the appplication (the "SUBMIT" button
at the bottom).
If new, how did you hear about the Howard County Bird Club?
If renewal, has your information changed since last year?
First E-mail Address:
Second E-mail Address:
First Phone Number:
Second Phone Number:
NO E-mail address(es) in Directory
NO Phone number(s) in Directory
Even if your E-mail address does not appear in the directory,
we need this information to contact you for special notices.
(Such messages do not reveal your E-mail address to others.)
Christmas bird count (Triadelphia)
Midwinter bird count
May bird count
Fall bird count
Send E-mail alerts to First E-mail Address
Send E-mail alerts to Second E-mail Address
I am a Howard County Lister
What past trips have you enjoyed most?
What new trips would you like considered?
Outreach/Exhibits & Fests
Represent club at events/displays (e.g. Greenfest)
Snacks & drink at one club meeting
at Robinson Nature Center
Serve as trip leader or co-leader
I have suggestions. Contact me.
I would like to receive action Emails regarding
Howard County & Maryland conservation issues.
for a meeting pre-show.
Comments or suggestions
$40.00 Household (one address)
Number of Juniors in household:
$5.00 Junior (under 18, no adult is member)
$5.00 If member of another chapter: Chapter dues only
$5.00. Hard copy delivery (by postal mail) of newsletter.
(in addition to dues)
$ to Howard
$ to MOS
$ TOTAL amount submitted
Check sent by mail