Chapel Hill Bird Club Membership Form Name: _____________________________________________________________ Address: __________________________________________________________ City: _______________________________ State: _____ Zip: ___________ Telephone: (_____) _____ - _______ (h) E-mail address: ___________________________________________________ One year: Two years: __ Individual/Family ($15) __ Individual/Family ($30) __ Student ($10) __ Student ($20) Make check payable to "Chapel Hill Bird Club" and mail to: Patsy Bailey 277 Mint Springs Rd. Pittsboro, NC 27312