Northern Shenandoah Valley Audubon Society
(NSVAS)

               

Shenandoah Audubon LOCAL MEMBERSHIP FORM

Join or Renew Your Support!

ANNUAL DUES: $15

INDIVIDUAL /FAMILY / NON-PROFIT

 

Please PRINT Legibly

 

 FULL NAME

 

 

 APT / SUITE / UNIT

 

 

 PO BOX or STREET

 ADDRESS

 

 

 CITY, STATE, ZIP

 

 

PHONE # (OPTIONAL)

 

 

 

LOCAL CHAPTER MEMBERSHIP INCLUDES 4 ISSUES

 OF OUR OAK LEAF eNEWSLETTER

EMAIL ADDRESS:

(Required to receive our eNewsletter)

 

 

EMAIL CONTACT

 PREFERENCES

____ OAK LEAF NEWSLETTER         ____ NAT'L AUDUBON CNSRVTN ALERTS

____ SA FEEDER NEWS & EVENTS  ____ NO EMAIL CONTACT AT ALL PLEASE

AMOUNT ENCLOSED:

 

 

                                                                                           CHECK ONE:

  Local Membership (1 Year): $_____________    ______  NEW MEMBER

                                                                               ______  RENEWAL

                                                                                                                     

       *Additional Donation:      $_____________

 

          TOTAL ENCLOSED:       $_____________

CAN YOU HELP OUT?

        _____ NO, NOT AT THIS TIME.       _____ MAYBE, PLEASE CONTACT ME.     

 

 

Please print and mail the above form with your check made out to Shenandoah Audubon to:

SHENANDOAH AUDUBON TREASURER

PO Box 515

Winchester, VA  22604

 

 

LOCAL MEMBERSHIP Local Membership annual dues of $15 per household/non-profit organization cover basic chapter operating expenses including printing/mailing of the OAK LEAF newsletter four times a year, notification of special events, web site fees, and liability insurance.  We can only guarantee that our member data base list is accurate for Local Members who have paid the $15 annual dues and keep us informed of any change of address - our lists are not sold or distributed to other organizations.  You do not need to belong to the National Audubon Society to be a Local Member of the Northern Shenandoah Valley Audubon Society chapter.  Dues do not cover Shenandoah Audubon projects (i.e.: Bird Counts, Bird Seed Sale, Audubon Arboretum, Blandy Blue Bird Trail, Bird Nest Boxes at other locations, Youth Birding Workshop), which continue to rely on donations of time, talent and monetary contributions, or projects which are expected to be self-sustaining (i.e.: Scholarship, Youth Camp, Birding Festival, Hawk Watch, field trips).  Please return the upper portion of the form with your check to our Treasurer.

DONATION All additional donations are greatly appreciated.  Refer to our projects list on the reverse side of the Events schedule, or visit our web site at www.audubon-nsvas.org for additional information. *

THANK YOU for your interest in and support of the work of the Northern Shenandoah Valley Audubon Society and for your participation in our activities.  Any comments or suggestions, particularly for our public programs, are very welcome.

 

*A copy of our financial statement is available through

Commonwealth of Virginia Office of Consumer Affairs

PO BOX 1163, Richmond, VA, 23209

804-786-2042 or 1-800-552-9963

 

 

Questions?  Email us:  shenandoahaudubon@yahoo.com

Shenandoah Audubon
Copyright © 2010
Last modified: June 14, 2010