___My check is enclosed

___$20- 1 year introductory rate ___Bill me

___$15 -1 year Student/Senior (62 and over) rate

___$30 – 2 year Special Rate

Checks payable to: National Audubon Society

Mail to: National Audubon Society, Membership Data Center, PO Box 52529, Boulder CO 80322-2529

Name__________________________________________________________________________

Address ________________________________________________________________________

City______________________________ State_______ ZIP ___________________

Chapter Code H03

7XCH