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Local Membership Application

Please enroll me as an Local Member of the Northeast PA Audubon Society Chapter. As a member of the Chapter, I will receive the newsletter, Eco-Notes, which will include information about the local chapter activities, programs, and field trips. In addition, I will receive all other NEPAS mailings. (I understand that a Local Membership does not entitle me to receive the National Audubon Society magazine or any of the national mailings.)

 

 

Name ………………………………………………….………………………………………………………………

 

Address……………………………………………………………………………….………………………………..

 

 

   City……………………………….…………………………………………………   State………  Zip………………

 

 
 Telephone………………………………………………………   

 

Email address ………………………………………..……….

 

I would like to join NEPAS as an (circle one):

Local Adult Member
($12.00)

OR

 

Local Student or Senior (62 or older) Member
($6.00)

Please send your completed application along with a check made payable to NEPAS to:

Northeast PA Audubon Society
P.O. Box 711
Honesdale, PA 18431