| Last Name (person 1) |
First Name (person 1) |
| Last Name (person 2) |
First Name (person 2) |
| Street Address |
City, Zip |
| Phone-land (1) |
Phone-land(2) |
| Phone-mobile(1) |
Phone-mobile(2) |
| e-mail (1) |
e-mail (2) |
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| My birding skills are: very advanced advanced... intermediate basic |
No birding experience, but anxious to learn |
| Would you be interested in helping lead field trips or serving on a committee? |
Are you interested in going on weekday or weekend field trips? |
| PVAS newsletter, the Chaparral Naturalist is available both in mailed copy and also on the web. It would save money and trees if you would agree to take only the web option:.
If you wish a mailed hard copy of the newsletter, circle here
|
PVAS publishes a membership directory, also available in both printed copy or as an e-mail. We do not put the directory on the web.If there is any information you don't want in this directory, please just fill out the blanks as XXXXXXX If you wish a printed hard copy of this directory circle here
|
| This form is only for PVAS local chapter membership. |
You do not get national Audubon membership or magazine. |
| Mail this form plus a check for $20 to: |
PVAS Audubon, Neil Gilbert, Treasurer |
|
183 E. Miramar Ave, Claremont Ca 91711 |
