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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.)
___ As a senior citizen or a student, I am eligible to join for only $15.
___ 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
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