Marin Audubon Society Membership Application

Name _______________________________________________

Address ______________________________________________

City _________________________________________________

State ____  Zip ___________________  Phone ________________

Email address________________________________
A contribution to Marin Audubon in addition to your membership will provide significant
support to our conservation, education and acquisition programs, and includes a subscription to our monthly newsletter.

$1000	Benefactor
$500    Patron
$100    Sustaining
$50     Sponsor
$25     Basic

Amount Enclosed	$_________


Please make your check payable to Marin Audubon Society and mail with this form to:
Bill Lenarz
Membership Secretary, MAS
PO Box 251
Kentfield, CA 94914-0251

_____ Please do not give my name to any other organization.

Membership in Marin Audubon does not include membership in National Audubon.

[MAS Web Form]