Member name: * Address 1: * Address 2: City: * State: * Zip code: * E-mail: * Golden Eagle ($1000) Yes No Ferruginous Hawk ($500) Yes No Prairie Falcon ($250) Yes No Red-tailed Hawk ($150) Yes No Cooper's Hawk ($75) Yes No Family ($35) Yes No Individual ($25) Yes No Student/Senior ($10) Yes No Questions/Comments?

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