Bastrop County Audubon Society
Membership Application


Enclosed are my annual dues in the amount indicated below. Please enroll me as a member of Bastrop County Audubon Society.

Individual membership $20
Family membership $35
Contributing membership $75
Other _____
Check if renewing your membership

Name __________________________________________

Address ________________________________________

City, State ZIP ___________________________________

Phone __________________________________ (Optional)

Email ___________________________________(Optional)

Please make your check payable to: Bastrop County Audubon Society

Print this form, fill it in and mail it to:

Bastrop County Audubon Society
c/o Alan Jaeger
117 Kaelepulu Dr.
Bastrop, TX 78602-7221

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This page was last updated on Sunday September 10, 2006 02:50 PM