To join: Print, complete, and mail this form with payment to:

      Sequoia Audubon Society
      Attn: Membership Committee
      P.O. Box 620292
      Woodside, CA 94062-0292



Check appropriate box [  ] below.

[  ] Sequoia Audubon Society individual membership: $15.00
[  ] Sequoia Audubon Society family membership: $20.00
[  ] Sequoia Audubon Society Student/Senior membership: $10.00

Optional national membership (in addition to local membership):
[  ] National Audubon Society membership: $20.00

Local chapter members will receive the Sequoia Needles newsletter, 
with current information on field trips, meetings and other activities.  
By selecting chapter membership, all of your dollars will be used to 
support local programs.  National Audubon Society members will 
also receive Audubon Magazine quarterly.

[  ] Donation: $___________ S.A.S. appreciates your tax-deductable 
    donation which helps fund the chapter's education, conservation 
    and on-going recreational activities.


Name:    _________________________________________________________


Address: _________________________________________________________


City:    _________________________________________________________


State:   _________ Zipcode: _____________ Phone: _________________

Email 
adress:	 _________________________________________________________

Also:

There are _____ member(s) in my household.  




[  ]  Yes!  I am interested in volunteering.  I may be able to help with:


    _________________________________________________________