NABA Membership Form: Print, fill out, and mail to address below.

Join NABA—through the Southern Wisconsin Butterfly Association

NABA, a non-profit organization, is working to promote the public enjoyment and conservation of butterflies. Please support us in these efforts. Members receive American Butterflies and Butterfly Gardener. You may join by printing out this page and sending it along with your membership fee to the address below.

Name: _____________________________________________________________

Address: ___________________________________________________________

__________________________________________________________________

E-mail Address (for NABA business only): __________________________________

(Note: Your e-mail address is important as some local chapters distribute their newsletters electronically.)

Phone (for NABA business only): _________________________________________

Special Interests (circle): Listing, Gardening, Observation, Photography, Conservation

Other: _______________________________________________________________

Dues enclosed (circle): Regular $30 ($60 outside U.S., Canada or Mexico), Family $40 ($80 outside North America). Special sponsorship levels: Copper $50; Skipper $100, Admiral $250, Monarch $1000. Institution/Library subscription to all annual publications $50 ($80 outside U.S., Canada or Mexico). Special tax-deductible contributions to NABA (please circle): $125, $200, $1000, $5000. All dues and subscriptions are payable in U.S. dollars.

NOTE: This member is joining through the Southern Wisconsin Butterfly Association Chapter.

Mail to: NABA, 4 Delaware Road, Morristown, NJ 07960