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New York City Audubon DIRECT Membership

Please print this form and mail to:

NYC Audubon
Attn: Membership
71 West 23rd Street, #1523
New York, NY 10010

__ I'm a new DIRECT member.
__ I'm already a DIRECT member. Please renew my membership.

__ Family - $45
__ Individual - $35
__ Student/Senior - $25
__ Other ________

Name: ______________________________________
Address: ____________________________________
Phone: ______________________________________
Email: ______________________________________

__ Enclosed is my company's matching gift form
__ Enclosed is my check payable to NYC Audubon
__ Charge my credit card:
__ Visa __ Mastercard __ American Express

Card Number: ______________________________
Expiration Date: ____________

DIRECT members pay annual dues to NYC Audubon and do not receive Audubon magazine.
Membership dues are fully tax-deductible.

New York City Audubon is a 501(c)3 non-profit organization