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Mail-In Membership Form
   
     

Print this form and send it, along with your check, to the address shown below.

Membership Application

Chapter code S57
7XCH8

Memberships in Audubon and Columbus Audubon, as well as gift memberships, are available through Columbus Audubon. The rates below are available to new subscribers.

Audubon Membership 

Includes membership in the national organization and Columbus Audubon; includes 6 issues of Audubon magazine and 5 issues of the chapter newsletter, local activities, and when submitted with our chapter code, helps fund our programs.

______ $20  - 1-year introductory rate
______ $30  - 2-year introductory rate
______ $15  - 1-year student/senior rate

Columbus Audubon Chapter Only Membership

Chapter only membership includes 5 issues of the chapter newsletter, local activities and helps fund our programs.

______ $20  - 1-year new membership 
______ $20  - Renewal


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Mark here if you want to receive the Song Sparrow electronically.

If this is a GIFT MEMBERSHIP, please fill out the recipient information below:

Recipient's name ___________________________________________________________
Address ___________________________________________________________
City __________________________________ State _______________
Zip ______________________Phone ____________________________
E-mail address______________________________________________

If this membership is FOR YOU, please fill out your contact information below:

Your name ___________________________________________________________
Address ___________________________________________________________
City __________________________________ State _______________
Zip ______________________ Phone ___________________________
E-mail address______________________________________________

Please make checks payable to "Audubon."

Print out and mail this form to:

Columbus Audubon
Membership Chair
P.O. Box 141350
Columbus, OH 43214


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Page updated 04/05/06

© Columbus Audubon 2006