Gift Membership

Gift Memberships in MOS – New or Renew

Question about this form or method payment? Please contact the webmaster (webmaster@mdbirds.org). Note: a chapter membership includes dues to the state-wide organization.

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$ Donation Amount:

YOU MAY DESIGNATE YOUR DONATION BELOW

Would you like to designate your donation?

You may specify a fund or purpose (scroll through list):

Other fund or purpose not listed:

Comment or Special Request:

Yes No

Select Payment Method

PayPal
Credit Card

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $25.00

Donate to MOS

$ Donation Amount:

YOU MAY DESIGNATE YOUR DONATION BELOW

Would you like to designate your donation?

You may specify a fund or purpose (scroll through list):

Other fund or purpose not listed:

Comment or Special Request:

Yes No

Select Payment Method

PayPal
Credit Card

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $25.00