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Space Coast Audubon Society

Serving Brevard County, Florida, and Florida's Space Coast


Space Coast Audubon Society Membership Form

scrub jay

Florida Scrub Jay photograph by Brad Martin

Print this page and mail to:

Space Coast Audubon Society
P.O. Box 147
Cocoa, FL 32923

Chapter Code: 7X CH E02

Membership Information

   Yes, I want to join the Space Coast Audubon Society (Chapter Code: E02), National Audubon Society, and Audubon of Florida at the special introductory rate of $20! I save 43% off regular dues.
   As a senior citizen or student, I am eligible to join for only $15.

Method of Payment

   Please bill me.
   My payment is enclosed.

Name

Address
City
State
ZIP
Phone (optional)
E-mail Address (optional)

Make checks payable to Space Coast Audubon Society. Dues include $4 for Audubon magazine. Florida residents, please include $.60 sales tax. Please allow 4 to 6 weeks, from receipt of payment to receive your first issue of Audubon.

   I do not wish to receive Audubon magazine.
   The National Audubon Society occasionally makes its membership list available to carefully selected organizations whose mailings you might find of interest. To have your name omitted from the list, please check here.