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MINNESOTA BIRDING WEEKS / WEEKENDS REGISTRATION
(Please feel free to photocopy this form as needed )
NAME(s)
_________________________________________________________________________________________
E-MAIL
_____________________________________________________ (E-mail
address required on all registrations)
U.S. mail address
__________________________________________________________________________________
Telephone(s) ___________________________________ (home)
______________________________________ (cell)
(Address and telephone not needed if you
previously registered for an MBW and contact information has not
changed)
• WEEK/WEEKEND
________________________________________ $ _____ fee/deposit x
___ person(s) = $ _______
Other person(s) included in this registration:
_______________________________________________________________
• WEEK/WEEKEND
_________________________________________ $ _____ fee/deposit x
___ person(s) = $ ______
Other person(s) included in this registration:
_______________________________________________________________
• WEEK/WEEKEND
________________________________________ $ _____ fee/deposit x
___ person(s) = $ _______
Other person(s) included in this registration:
_______________________________________________________________
Please make checks
payable to M. B. W., and mail to:
Total $
__________
MBW, c/o Kim R. Eckert,
1921 W Kent
Road, Duluth, MN 55812
All MBW participants
are expected/encouraged to become members of the Minnesota
Ornithologists’ Union
($25 individual / $35 family); for membership information,
see http://moumn.org/join.html
Questions? Contact Kim Eckert / (218) 349 5953 /
eckertkr@gmail.com /
MBWbirds.com
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