Membership Application / Renewal Form


To join the Washington Area Butterfly Club or to renew your membership, send $18 dues
in the form of a check made out to the Washington Area Butterfly Club. Please include this form.

Name __________________________________________________

Address ________________________________________________

City ____________________ State _______ Zip Code ____________
Phone:
Daytime:  __________________    Evening: ____________________

E-mail  __________________________________________________

Check one:  new _____         renewal _____

I am interested in (circle appropriate items):

gardening     field trips       conservation       July 4th butterfly counts 
     
          rearing butterflies     tagging    habitat preservation 

                photography     other _________________

Mail to: Washington Area Butterfly Club
c/o Pat Durkin
23 Logan Circle, NW
Washington, D.C. 20005