GREAT SALT LAKE AUDUBON

“CHAPTER MEMBER ONLY” APPLICATION

Please enroll me as a “chapter member only” of Great Salt Lake Audubon.  I have chosen to have all of my dues stay in my chapter to help to the fullest extent possible in local conservation and educational issues.

My check of $30.00 made payable to “Great Salt Lake Audubon” is enclosed for a one year membership.

Please mail my Chapter Newsletters to the following address:

Name____________________________________________________

Street____________________________________________________

City___________________ State_______ Zip__________

The following information is not mandatory, although it would greatly assist us in keeping you advised and involved.

Telephone #______________________________

Email address_____________________________

Check this box if you would prefer to receive The Pelican electronically. Make sure you provide us with your email address on the line above.

Please mail this application with your check to:

Great Salt Lake Audubon

P.O. Box 520867

Salt Lake City, UT 84152-0867

Thank you for your support.