Manomet Bird-a-Thon Pledge Per Species Form
RequiredRequired Question(s)
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
What team are you supporting?
Manomet Banders
Manomet Trustees
Manomet Councilors
Flip the Bird
Other  
  • Comment:

  • 500 characters left.
Required 3.
How much money per species will you be pledging?

(Manomet Bander team averages 120-160 species)
 

50 characters left.