Membership Form    C9ZY270Z

(Print out, fill in, and mail with your check to address below)
Chapter C9ZY270Z

Join Discovery Coast Audubon Society And belong to one of the oldest & most important conservation organizations in the world!
 
YOU CAN MAKE A DIFFERENCE!

Tax Deductible:
[  ] $25.00 One year membership w/DCAS

And National Audubon
[  ] $50.000
[  ] $100.00
[  ] $250.00
[  ] $________________________
 
Name _______________________________________

Address _____________________________________

City _________________St _____Zip_____________

Phone _______________________________________

E-Mail ______________________________________

Volunteer Opportunities:

[   ] Field Trip Chair
[   ] Vice President
[   ] Membership Chair
[   ] Newsletter Editor
[   ] Conservation Chair
[   ] Monthly Meeting Speaker Chair
[   ] Festival Chair
[   ] Loyalty Day Float Chair

Other_____________________

_______________________________________________________________________________

Make checks payable to: DCAS

Mail the completed form and check to:
DCAS
P.O. Box 724
Long Beach, WA 98631

Discovery Coast Audubon Society is recognized by the IRS as a 501(c)(3) non-profit organization. In accordance with IRS regulations, we confirm that no goods or services are provided in exchange for your donation.