Membership Application

You are invited to join Fort Dearborn Chapter of The Illinois Audubon Society. Membership in Fort Dearborn is contingent upon also joining The Illinois Audubon Society.

Name____________________________________________________ Phone __________________
Address____________________________________________________________________________
City_____________________________ State__________________  Zip Code _______________
Email Address_____________________________________________________________________

Illinois Audubon Society  Annual Dues
______$25 Friend              ______$50-$99 Steward            ______$500-$999 Advocate
______$30 Friend Plus   ______$100-$499 Guardian    ______$1,000+ Benefactor
______$5,000+ Legacy

Illinois Audubon Society Level of Support   $_______________
Fort Dearborn Chapter Dues                             $_________10.00
Total                                                                                   $_______________

Make check payable to, and mail to: Illinois Audubon Society, P.O. Box 2547, Springfield, IL 62708.

Members receive the following publications: Illinois Audubon and Fort Dearborn Newsletter.  Fort Dearborn has 10 evening meetings a year, and averages more than 15 field trips and/or workshops a year.

Renewing members: Please use the renewal form sent to you by IAS in Springfield rather than this new member form.