DUES: $15 single membership
            $25 family membership

Dues cover membership for calendar year _____________

Please make checks payable to: Fripp Audubon Club

Attach this form to your check. You can hand in this form with check at our monthly meeting or mail to:

Fripp Audubon Club, 199 Tarpon Blvd., Fripp Island, SC 29920

Name(s) of Member(s): PLEASE PRINT

Member (1)  __________________________________________________new / renew (circle one) 

Member (2)  __________________________________________________new / renew (circle one)

Address:  _________________________________________________________


Phone #:                   __________________________________________________

e-mail (Member 1)  __________________________________________________

e-mail (Member 2)  __________________________________________________


  Note:   Membership fees are tax deductible as are additional contributions that are always welcome.