Dues include local and state dues and entitle one to all state and chapter publications. Mail this form, with your check, payable to NTOS, to Susan Hollyday,  211 Wauford Drive, Nashville, TN 37211.

Name__________________________________________________________________________________________
Address________________________________________________________________________________________
_______________________________________________________________________________________________
Telephone Number(s)_____________________________________________________________________
E-mail address__________________________________________________________________________
Do you want to receive periodic e-mails concerning impromptu field trips, program/ field trip reminders, or unusual sightings?  YES_________ NO_________

Regular Membership Renewal
    Individual @$30.00                                     _______
    Sustaining @$50.00                                     _______
    Family @$35.00                                          _______
    Student, grades 1-12 @$10.00                    _______
    Life Membership @ $450.00                       _______

Contribution to:

NTOS Bird Conservation Fund                     ____________________________
TOS Conservation and Research Fund          ____________________________
TOTAL ENCLOSED                                   ____________________________

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