Chapter-only Membership Form: Topeka Audubon Society
Please print out this page
and send it to Topeka Audubon Society, PO Box 1941, Topeka, KS 66601. Make the check payable to "Topeka
Audubon Society." All your funds are
used locally! Benefits of
membership: Subscription to the chapter newsletter, educational
programs, and birding field trips twice per month.
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O – Yes, make me a member of Topeka Audubon |
(check those that apply) |
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O $18 One-year membership |
Additional gift to Topeka Audubon Society: |
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$10 Student membership |
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O Check if this is a renewal |
O $10 O $25 O $50 O $100 O $ ________ |
Total: _______
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Make check payable to: Topeka Audubon Society Mail to: Topeka Audubon Society Questions: Call Name at (785) xxx-xxxx |
O Enclosed is a personal check or money order |
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O Please bill my: O Visa O MasterCard |
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Card #: _________________________ Exp. date: _______ |
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Signature: ______________________________________ |
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Print name: ______________________________________ |
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Please make this a gift membership
to the recipient described below:
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