Membership Application

For 2010

Dues at $15.00 single, $25.00 dual, Youth $10.00, 

Print & complete this application, mail with Advance Tag Registration Form along with check or money order

Make checks payable to NCBS

(to qualify for "Youth" you must have completed the 6th grade, and have not graduated from High School)

Please indicate if this is:      New Membership: _____      or Renewal Membership: ____

Please indicate if a:   Single: ____   Dual membership: ____      Youth____    

Name:______________________________________________________________

Address:____________________________________________________________

City:________________________________State:__________ Zip Code:_________

Phone:_________________________________________

E-mail:_________________________________________

Membership is from January 1st to December 31st of each year. You will receive a ballot in January of the following year for the National board of Directors election. Youth membership - You will receive catalog/newsletter but no voting privileges.

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