Online Youth Gift Membership Form

PARENTS: Please send in (via USPS, fax, or email attachment) a completed and signed membership & parental approval form when you complete this online gift purchase. We are required to obtain this form from a parent/guardian of every minor joining the club.

For only $10.00, you will be giving the gift of NYSYBC membership to a young birder between the ages of 10 and 19, inclusive.
You will receive the following to give to the young recipient of your gift:  A form to be signed and submitted by the young birder's parent to fully activate the membership.

1 - Complete this form.      2 - Click Buy Now.        3 - Follow directions on the next screen (PayPal).      4 - Return to YBC website.
You'll receive an email confirmation of your gift membership purchase and payment.
NOTE: Please be sure to include your email address.

All fields below are required except Your (Billing) Address Line 2.

Young Birder's Age:  
Young Birder's Full Name:
Street Address:
City, State, Zip:
Your (Billing) First Name:  
Billing Last Name:
Billing Address Line 1:
Address Line 2 if applicable: NYS Young Birders Club
1 year gift membership
$10.00
Billing City:
State:
Zip:
Payer's Email:
Click the BUY NOW button to proceed to the payment screen and complete your transaction. 

Questions?

NYSOA is a 501(c)(3) nonprofit corporation.
New York State Young Birders Club membership dues are tax deductible to the extent allowed by law.