Welcome to the Kentucky Bluebird Society!


Membership Application



 
Membership Category:

____Youth or Student (under 18)

____Senior (62 or over)

____Individual

____Family

____Corporate Sponsor

____Corporate Donor

____Life Member

Annual Dues:

$7.50

$7.50

$10.00

$20.00

$100.00

$200.00

$200.00

 Tax Deductible Gift to the Kentucky Bluebird Society:                $__________


Name:_________________________________________________________________

Address:_______________________________________________________________

City:_________________________________ State:________ Zip code:____________

County:________________________________________________________________

Phone:___________________________ E-mail:_______________________________
 

Make checks payable to: Kentucky Bluebird Society

Print, fill out, & mail this form to: Kentucky Bluebird Society, P.O. Box 3425, Paducah, KY 42002