Prairie Woods Audubon Society Membership Form

___ Chapter-Only Membership - Receives eight chapter newsletters yearly including information on field trips, membership meetings and special events. Full $15 cost goes to Prairie Woods Audubon for support of our 'Traveling Naturalist' program, equipment and supplies for maintenance of Palatine Prairie, newsletter costs, web site maintenance, speaker fees, etc.

Name: _________________________________________________________

Address: _______________________________________________________

_______________________________________________________

City: ____________________ State: ____ Zip Code: ___________________


If you are interested in helping out at Palatine Prairie workdays, please provide us with your phone number - _______________________________________


Make checks payable ($15 for chapter-only to "Prairie Woods Audubon Society" and mail to:

Prairie Woods Audubon Society
Attn: Membership
P.O. Box 1065
Arlington Heights, IL 60006