AN INVITATION TO JOIN

We invite you to join the Chicago Herpetological Society. Just print this form and fill it out. Return it with your check or money order payable to the Chicago Herpetological Society. Your subscription to the Bulletin will begin with the next monthly issue.



Name: ___________________________________________________
Address: __________________________________________ Apt #____
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City: _____________________________ State_________Zip_________
Phone: (_______)________-__________________________________
E-mail: __________________________________________________
How did you hear about us? _______________________________________
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Mail To Membership Level
Membership Secretary
Chicago Herpetological Society
2430 N. Cannon Drive
Chicago, IL 60614
Individual $25.00 $_________
Family 28.00 $_________
Institutional $38.00 $_________
Sustaining $50.00 $_________
Contributing $100.00 $_________
Outside U.S. please add $12.00 postage $_________
Additional donation $_________
Amount Enclosed: $_________
Please remit in $US drawn on a US bank.