Audubon

National Audubon Society
Chapter Membership Form
(bill me later version)

Join Audubon!

backpack

Join today for only $20 -- 43% off the basic rate -- and receive 4 issues of the beautiful, award-winning AUDUBON magazine, membership in your local chapter, plus many other membership benefits. As our thank-you, we'll send an Audubon backpack FREE upon receipt of payment.

When you have filled out this form to your satisfaction, click on the Join! button at the bottom of the form and we'll take care of the rest.

If you fill out and submit this form, Audubon will send you your first issue of AUDBON magazine and then bill you for your membership fee. After receiving your payment, Audubon will send you your free backpack. If you order via credit card, you will get your backpack more quickly.

If you wish to pay by credit card, you may use our secure form to do so. The data in that form is encrypted with SSL (Secure Sockets Layer) 2.0 for your protection; Netscape's website includes detailed information about SSL.

Required fields are strong-emphasized (bold).

See Audubon's Privacy Policy

Chapter code: [Required to use this form. If you don't remember it, use the Back button in your browser and write it down from the page that led you here.]
Membership type: $20: Special Introductory Rate
$15: Student and Senior Rate
$30: Two Year Membership

$1,000: Individual Life Membership
$1,500: Dual Life Membership
Name:
Address:
City:
State: Zip:
Country [$10 additional charge for non-US addresses]:
College / University:
Phone:
E-mail address:
How did you hear about us?
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:

If your browser does not support forms, you can E-mail your name and billing address to audubon@neodata.com.

Please do not send the same request more than once. If several weeks pass and you have not heard from us, please send an E-mail to audubon@neodata.com explaining that you have not received confirmation of your request. Include your address in the E-mail and we'll process your membership application as quickly as possible.

Note: Your dues include $4 for AUDUBON magazine. Florida residents please add $.60 cents sales tax. We are unable to bill for foreign orders -- if ordering from outside the US, please use our secure form to place a credit card order (with a $10 surcharge). Please allow 4-6 weeks for the arrival of your first issue of AUDUBON. Please allow 6-8 weeks following receipt of your dues payment for arrival of your backpack.

The National Audubon Society is a nonprofit 501(c)3 organization.



contact:
audubon@neodata.com 		backBack to Support Audubon home