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MEMBERSHIP APPLICATION

    O. B. B. A.  R E N E W A L  A N D  N E W M E M B E R  A P P L I C A T I O N 3/1/2010

   Name ____________________________________________________________Date: _____________________

  Mailing Address _______________________________________________Ph # (______)____________________

  City __________________________ State _____ Zip _________ E-Mail ________________________________

  Check /One  $15 RENEWAL     $15 NEW MEMBER      $25 FAMILY      $25O LIFETIME MEMBER      STUDENT

  (free to students who volunteer two times at a banding station! Station Bander’s Name: ______________________________)

  DONATION/GIFT ~ I am making a gift/donation to help support the efforts of OBBA.

  Send all requests to Bob Thobaben, 1835 SR 380, Wilmington, OH 45177

   Make checks payable to “OBBA” ~

   All membership information submitted to OBBA remains confidential and is not available to solicitors or other organizations without  consent