Gift Membership Form

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Give the Gift of A Birds Georgia Membership

Include your gift recipient's information here.

Include your information here.

Donate Once

Individual Membership

Family Membership

Pine Warbler Membership

Other Amount

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USD

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Gift Membership Recipient Contact Information

Please include your gift recipient’s email and/or mailing address below to make sure they unlock all their membership benefits. A gift notification will be sent to them right away.

Please acknowledge this gift membership to the following person *

Gift Recipient Name (the person who will receive the Gift Membership) *

Check this box to add the gift recipient's contact information. We must have this information in order to set up their new membership account.

Acknowledgee Name is the same as the Recipient.

Gift Membership Recipient Name *

Gift Membership Recipient Email *

Gift Membership Recipient Address Line 1

Gift Membership Recipient Address Line 2

Gift Membership Recipient City

Gift Membership Recipient State/Province

Gift Membership Recipient Zip/Postal Code

Gift Message (optional):

Message for Gift Membership recipient (i.e. Happy Birthday, Happy Holidays, etc.)

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First Name *

Last Name *

Email *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

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Card

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Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

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Billing address is the same as mailing address

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Address Line 2

City

State/Province

Zip *

Country

Amount:

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