Become a Member of Audubon Greenwich and
the National Audubon Society
(Membership Benefits are listed on previous page.)
Friends $35 Sponsor $1,000
Contributor $100 Patron $2,500
Sustainer $250 Benefactor $5,000
Advocate $500 Other $_________
Total Enclosed $_________
Name (as you wish to be acknowledged):
Mr./Mrs./Miss/Ms./Mr.& Mrs./Dr. ____________________________________________
City __________________________________ State ________ Zip_____________
Phone (h): ( ) _____ - ________ Phone (w): ( ) _____ - __________
Email address (optional) ________________________________________________
I would like to receive email notices of:
Program updates and announcements.
Action alerts on local environmental issues.
To have your name omitted from this list, please check here.
My check payable to Audubon Greenwich is enclosed.
Please charge my gift to: Master Card Visa American Express
Card #:______________________________________ Exp. date: _________
Double your gift! Many companies will match your gifts to Audubon (even after you retire). Contact your
employer’s personnel office for a matching gift form.
Matching gift form enclosed. I will forward my matching gift form later.
Please print out this form and mail it with your payment to:
Audubon Greenwich, 613 Riversville Road, Greenwich, CT 06831
Thank you for joining Audubon Greenwich!
* Your gift to Audubon is tax deductible except for the $7.50 fair market value of Audubon magazine. Allow 4-6 weeks to
receive your first magazine issue.