To join the American Littoral Society, please print out this page and mail it back to us at: American Littoral Society, Northeast Chapter, 28 West 9th Road, Broad Channel, NY 11693, or email us.for more information.
Please enroll me as a member of the American Littoral Society and send current issues of Underwater Naturalist, Coastal Reporter, Littorally Speaking, and a membership card.
| I enclose a check for $______ for the membership type checked below:
__ $25 Senior |
Or you may charge your membership fee: (Check one)
__ VISA Card Number __________________________ Expiration Date _________________________ Signature ______________________________
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Contributions are tax deductible. Payment in U.S. funds only. Make check payable to American Littoral Society.
Applicant:
Name _____________________________________________________________
Address __________________________________________________________
City _____________________________________State ________Zip ______
Gift Recipient:
Name _____________________________________________________________
Address __________________________________________________________
City _____________________________________State ________Zip ______
Use the box below if you want to send a short greeting to a Gift Recipient.
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