Santa Barbara Audubon Society Membership Form

Santa Barbara Audubon Society Membership Form
Chapter Code: C13 7XCH

Please print out this page, complete it, and send it with your payment to:

Santa Barbara Chapter, National Audubon Society
Membership Data
5679 Hollister Ave., Suite 5b
Goleta, CA 93117

Yes, I want to join the Santa Barbara Chapter of the National Audubon Society at the special introductory rate of $20! Yes, I want to join the Santa Barbara Chapter of the National Audubon Society at the special introductory rate of $40 for two years! As a senior citizen or student, I want to join the Santa Barbara Chapter of the National Audubon Society at the special introductory rate of $15!
I wish to make an additional donation of:
Method of Payment
My payment is enclosed. Please make checks payable to the National Audubon Society. This is important, otherwise it costs the local Audubon Chapter additional effort and funds to send your membership to the National Audubon Society!!!! Please rush my FREE Audubon backpack.
About Me
Name:
Address:
City:
State:
Zip/Postal Code:
Phone:
E-mail:
Please make checks payable to the National Audubon Society. Please allow 4-6 weeks from receipt of payment to receive your first issue of AUDUBON and 6-8 weeks to receive your FREE backpack.
The National Audubon Society occasionally makes its membership list available to carefully selected organizations whose mailings you might find of interest. To have your name omitted from this list, please check here.

Thank You