Audubon Society of Central Arkansas

Chapter Only Membership Application

 

Name _____________________________________________

 

Address ___________________________________________

 

 

City _______________________ State ______ Zip _______

 

E-mail address ______________________________________

 

 

Membership Level: (Check One) :

 

‖  Student/Senior $10 per year

‖  Regular $15 per year

‖  Family $25 per year

‖  Supporting $35 per year

‖  Patron $50 per year

 

Make check payable to ―ASCA and mail to treasurer: Ed Laster, 64 Bouresse Drive, Little Rock, AR 72223.

Please note that ―Chapter Only Members will not receive Audubon magazine. To receive Audubon magazine, you need to join the National Audubon Society (NAS).

Address changes should be sent to the following: If a Chapter Only Member, notify Leon Brockinton, c/o Brockinton Company, LLC at P. O. Box 6213, Sherwood, AR 72124.  If a NAS member, notify both Brockinton Company and NAS at P. O. Box 51001, Boulder CO, 80322-1001.