Wanderbirds Membership Form
In order to complete your membership renewal you will need to fill up this form and then make your payment. You have two options:

- Mail a check for $20 to Wanderbirds Hiking Club, Pat Fairfax 6913 Courageous Circle, Burke, VA 22015
- Paypal: http://wanderbirds.org/member-payment.html

Please Select *
Payment Method *
First Name *
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Last Name *
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Address 1 *
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Address2
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State *
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City *
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ZIP Code *
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Country
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Contact Phone
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Email Address *
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Include Name in Membership Directory
Comments
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Emergency Contact Information *
Please add name and phone number
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