North Carolina Purple Martin Society Membership Application Form

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NOTE: This form is only for new members paying via check or Paypal accounts.
If you want to pay via credit card, debit card, Google Pay, or Apple Pay, please go back to the main membership page and use the embedded Zeffy form.

Submit your payment first and then fill out this form afterwards.
Thank you for your interest in our group! We appreciate your support!

First Name *

Last Name *

Address Street 1 *

Address Street 2

City *

State *

Zip Code *

Phone *

Landlord Status *

Active Landlord

Trying

Former Landlord

Just interested in Purple Martins

Email *

How did you hear about our group? *

PMCA listing: website, magazine, forum

From a presentation

From a table at a public festival, market, or other similar event

Found via a web search (Google, etc)

Found via Social Media: Facebook, Instagram, YouTube

Found via word-of-mouth

Saw a sign at a public colony site

Other:

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