Louisiana Bayou Bluebird Society

(An organization devoted to the conservation of all native cavity-nesting birds)

Membership Application Form

(Please copy and distribute as many of these forms as you need!)

For printable versions of this document:
click here for PDF Version
click here for Word Version

For the brochure, "How to Make and Enjoy Your Own Bluebird Trail" with a detachable membership application, click here.  

LOUISIANA BAYOU BLUEBIRD SOCIETY
c/o Sheryl Bassi - 356 Lord Road, Oak Ridge, LA 71264
An organization devoted to conservation of all native cavity-nesting birds
www.labayoubluebirdsociety.org

MEMBERSHIP APPLICATION FORM
(This form may be copied and distributed)

Name ________________________________________________________________________________________

Address ______________________________________________________________________________________

City _________________________________________________________________________________

State Zip _________________________________________________________________________________

E-mail & Telephone ________________________________________________________________________________________

[   ] New Membership   [   ] Renewal 

_______ Individual ($10.00)

_______ Family ($20)

_______ Lifetime ($250)

_______ Organization ($25)

_______ Small Business ($25)

_______ Corporations ($100)

_______ Donation $_______ 

Your cancelled check will be your receipt. To save money, receipts are not issued unless specified. Please ask if your company or your spouse’s company has a matching gifts program to augment your contribution. Inquiries for information concerning matching gifts may usually be made at the company’s benefit office.

LBBS is a 501(c)(3)charitable organization and contributions are tax deductible as allowed by law.