Membership Form

Check one of the choices below:

___Please enroll me as a member of the National Audubon Society and the Ventura Audubon Chapter.

___Please enroll me as a member in only the Ventura Audubon Chapter.

___I would like to receive my newsletter electronically at this e-mail address:___________________________________________

Name____________________________________________________

Address__________________________________________________

City___________________________________State____Zip________

Phone Number_____________________________________________

Enclosed is my tax deductible check made out to "National Audubon Society" for $20.00 ($15 Senior/Student, $35.00 Renewal) for a National Audubon and Ventura Audubon Society membership.

or

Enclosed is my tax deductible check made out to "Ventura Audubon Society" for $20.00. ($20.00 Renewal) for a "Chapter Only" membership.

PRINT and SEND to:

Ventura Audubon Society, Attn: Membership, P O Box 24198, Ventura, CA 93002