NATIONAL 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: _____________________________________________________

MEMBER INFORMATION (Please Print)

For RAS membership/gift donor, please fill your information here (please print):

Name: _______________________________________________________________

Address: ____________________________________________________________________

City, State and Zip Code: _____________________________________________________

Phone and Area Code: _______________________________________________________

Email: ______________________________________________________________________

X53
7XCH

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 “X53” 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

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