ASCM Membership Form

The Audubon Society of Central Maryland

A Chapter of the National Audubon Society

Membership Application: Please enroll me as a member of the National Audubon Society and my local chapter, the Audubon Society of Central Maryland. Please send Audubon magazine and membership materials to this address:

Name_________________________________________________________
Address_______________________________________________________
City/State/Zip___________________________________________________
email address__________________________________________________

Gift Membership: Please enter a one-year gift membership in the National Audubon Society and send a gift membership announcement to:

Name__________________________________________________________
Address________________________________________________________
City/State/Zip___________________________________________________

Your Name_____________________________________________________
Address________________________________________________________
City/State/Zip___________________________________________________

Membership category: Introductory: $20 (Any additional donations are greatly appreciated!)

My check for $________is enclosed.
(Chapter code: C2Z L03 0Z)

Please make membership check or money order payable to: National Audubon Society

Please make contributions to assist our educational & environmental work payable to: Audubon Society of Central MD

Please mail all checks or money orders payable to:
ASCM
P.O. Box 660
Mt. Airy, MD 21771

THANK YOU!

*The Audubon Society of Central Maryland* *A Chapter of the National Audubon Society*

Membership Application: Please enroll me as a member of the National Audubon Society and my local chapter, the Audubon Society of Central Maryland. Please send Audubon magazine and membership materials to this address:
Name_________________________________________________________ Address_______________________________________________________ City/State/Zip___________________________________________________ email address__________________________________________________

Gift Membership: Please enter a one-year gift membership in the National Audubon Society and send a gift membership announcement to:
Name__________________________________________________________ Address________________________________________________________ City/State/Zip___________________________________________________ Your Name_____________________________________________________ Address________________________________________________________ City/State/Zip___________________________________________________
Membership category: Introductory: $20 (Any additional donations are greatly appreciated!)
My check for $________is enclosed.	(Chapter code: C2Z L03 0Z)
Please make membership check or money order payable to: National Audubon Society
Please make contributions to assist our educational & environmental work payable to: Audubon Society of Central MD

Please mail all checks or money orders payable to: ASCM P.O. Box 660 Mt. Airy, MD 21771
THANK YOU!