Print out this page and mail it with your membership check payable to
the address listed next to the option you choose:
Yes! I am interested in becoming a member in the
Great South Bay Audubon Society
(Please Check Appropriate Lines - Note: You can select both options if you wish.)
Please establish a one year membership for:
Option A: ________ National
Audubon Society
You will also automatically be a
member of Great South Bay Audubon Society (“GSBAS”), the local Chapter.
You will receive Audubon magazine and the “Sandpiper.” GSBAS gets $20.00
for each new membership contribution. Please make checks for Option A
payable to: “National Audubon” and send this form to National Membership
Data Center, P.O. Box 52529, Boulder, Colorado 80322-2529.
New Membership $20 _______ Senior $15 _________
Option B: ________ Great South Bay Audubon Society (“GSBAS”) and “Friends of Brookside”
You will be a member of GSBAS
and you will receive the “Sandpiper.” Your contribution will support
GSBAS and our work at Brookside County Preserve. Please make checks for Option B payable to: “Great South Bay
Audubon Society” and mail to GSBAS, P.O. Box 267, Sayville, NY 11782.
New Member Introductory Contribution $20 _______ Renewal $35
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Name_____________________________________________________________
Address___________________________________________________________
City ___________________________ State _____________ Zip _____________
Telephone ________________________ Email Address _____________________
