RICHMOND AUDUBON SOCIETY
Chapter Membership Form

Please enroll me as new member of the Richmond Audubon Society (RAS) at the address below, at the introductory rate. I understand this membership rate includes: membership in this local chapter, the RAS newsletter "The Thrasher," my enrollment in the National Audubon Society, and a subscription to the National Audubon Society magazine "AUDUBON".
	$20 – 1 year, Individual/Family
	$15 – 1 year, Student/Senior Rate
For a gift membership please fill in the recipients information here (please print):
	Name: _______________________________________________________________ Address: ____________________________________________________________________ City, State and Zip Code: _____________________________________________________

For RAS membership/gift donor, please fill your information here (please print):
	Name: _______________________________________________________________ Address: ____________________________________________________________________ City, State and Zip Code: _____________________________________________________ Phone and Area Code: _______________________________________________________ Email: ______________________________________________________________________ C9ZX530Z
The RAS newsletter "The Thrasher" is now available on the RAS web-site. Members can receive the bimonthly newsletter by U.S. mail OR access it by Internet only. Check the box to indicate your interest to receive the newsletter by U.S. mail and/or Internet.
	By Internet Only
	By U.S. Mail and /or Internet
Please make check or money order payable to the National Audubon Society and write “C0ZX530Z” on the for/memo line of the check. Thank you for your interest. Send your application and check to: Richmond Audubon Society • Attn: Membership Chairperson P.O. Box 26648 • Richmond, Virginia 23261