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(PRINT) Membership Form
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Please enroll me as a member of the Decatur Audubon Society
and the National Audubon Society at the special introductory rate.
I'll receive all membership benefits PLUS a subscription to AUDUBON magazine.
Name
Address
City, State, Zip
 
Please mark only one of the following boxes...
Regular NEW Membership: <= 1 year, $20......or... <= 2 years, $35
Full-time Student: <= 1 year, $15
Senior Citizen (62 yrs. & up): <= 1 year, $15
 
Mark any or all of the following boxes...
  Do not share my name/other information with other organizations.
  Send me only ONE renewal notice -- no other solicitation mailings from National Audubon.
  Do not call me to solicit donations. C9ZG510Z  
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  I do not want AUDUBON magazine--do not send it.


Send filled-in form with check in correct amount to:

Decatur Audubon Society
P.O. Box 591
Decatur, IL 62525

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