Join Audubon - Membership Applicaton

(__) YES! I want to join the Jackson Audubon Society chapter and the National Audubon Society at the Special Introductory Rate of $20.00! (Basic rate is $35.00)

(__) As a senior citizen (62+) or student, for only $15.00

(__) My check is enclosed. (__)Please bill me.
Make check payable to: National Audubon Society
Mail to: National Audubon Society
Chapter Membership Data Center
P.O. Box 422250
Palm Coast, Florida 32142-2250

Name:______________________________________________

Street:______________________________________________

City/State:___________________________________________M51

Zip:___________________________7XCH

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Print out form and mail in. If you hand-print information, please be sure to include the codes M51 and 7XCH to join the Jackson Audubon Society and receive our Chapter Newsletter.