Print out this page and mail with your check to the address below.

 

 

Audubon Membership Application

 

Please enroll me as a member of the National Audubon Society and the Naugatuck Valley  Chapter.  Please send AUDUBON Magazine, Newsletters and my membership card to the address below.

 

___ Yes, I'd like to join the National Audubon Society and NVAS.

 

___ My check for $20 is enclosed. (Special introductory rate, basic dues are $35.)

 

 ___ I would like to receive a newsletter on-line.

 

      Name: ________________________________

      Address: ______________________________

      City: _________________________________

      State: _______ Zip: _________-_______

      E-mail: _________________@_____________

 

Please make check payable to: National Audubon Society.

 

Send this application and your check to:

 

Naugatuck Valley Audubon Society

PO Box 371

Derby, CT   06418

 

Chapter Code:  D56

7XCH