2018 Fall Meeting Registration Registration Form 2019 If you are human, leave this field blank. Select Membership transaction: Join Renew Gift Membership My membership dues are paid for this year (no need to renew) Please Choose how you wish your communications to be delivered Digital subscription to The Yellowhammer and Alabama Birdlife Print subscription to The Yellowhammer and Alabama Birdlife (digital communications are preferred, if possible!) AOS Meeting Registration for Winter 2019 Registration (1 person) $25 Registration (2 people) $50 Registration (3 people) $75 Registration (4 people) $100 Name of additional attendee for name tag (#2) (also include hometown and/or company info) Name of Additional Attendee for name tag (#3) (also include hometown and/or company info) Name of Additional Attendee for name tag (#4) (also include hometown and/or company info) AOS Annual Membership Dues (Dues are payable in January) Current Year membership dues already paid Students: $10.00 Individual: $25.00 Family: $40.00 Sustaining: $50.00 Life (individual): $350.00 Life (family): $550.00 Banquet Registration ($25 per person--choose the correct number for the correct number of people) 25 50 75 100 0 DIBS Land Purchase Fund Contribution (enter any amount you'd like to contribute to help purchase land for the Dauphin Island Bird Sanctuary) Name * First Last * Last Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Phone Number Email * Text I would like to attend the Wheeler NWR Field Trip on Saturday *Trip is limited to 30 people (if registering for multiple people, please list the total number of people) Yes No Total Number of People participating in the Friday Field Trip (including yourself) I'd like to offset the cost of online payments. I choose to donate an extra 3% to cover processing costs No Yes Total Payment Optional Comment We use PayPal for secure transactions. You do not need to have a PayPal account; you may pay with your major credit card on the secure PayPal web site Please check this to help us keep our inboxes from being spammed!