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: $20.00
[  ] Sequoia Audubon Society family membership: $25.00
[  ] Sequoia Audubon Society Senior (>62)/Student (<25) membership: $15.00
[  ] Sequoia Audubon Society Supporter membership: $100.00


Local chapter members are eligible to receive the Sequoia Needles newsletter, 
with current information on field trips, meetings and other activities.  
Let us know if you'd like the newsletter by mail or email.
By selecting chapter membership, all of your dollars will be used to 
support local programs.  

[  ] 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.  


Needles Newsletter Preference: [  ] mail and/or [  ] email.


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


    _________________________________________________________