Fall 2021 Online Registration Registration Form 2021 Fall 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 Fall 2021 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 ($27 per person--choose the correct number for the correct number of people) Dinner for One Dinner for Two Dinner for Three Dinner for Four 0 DIBS Land Purchase Fund Contribution (enter any amount--just numbers, such as 20, etc-- 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 * Total Payment (includes 3% to cover cost of card processing) 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! If you are human, leave this field blank.
