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The Audubon Co erative Sanduar S stem <br /> The Audubon Society of New York State•131 Rarick Road•Selkirk.New York I?158•(518)767-9051 <br /> AUDUBON <br /> PERATIVEli <br /> SANCTUARY <br /> AUDUBON SIGNATURE <br /> COOPERATIVE SANCTUARY PROGRAM <br /> I, the undersigned, wish to become a Cooperator .in the Audubon Signature <br /> Cooperative Sanctuary Program and intend to work toward Signature Status. Enclosed is <br /> a check payable to the Audubon Society of New York State in the amount of $4,500. <br /> I have reviewed the "Audubon Sustainable Resource Management Principles" and <br /> agree to adopt those Principals in the development and planning of the proposed project. <br /> Signature <br /> As Representative of <br /> Company <br /> Date <br /> Name <br /> Project Name (Please Print) <br /> . <br /> Mailing Address <br /> Telephone (_) <br /> FAX ( ) <br /> i <br /> 34 <br /> AW <br /> Printed on Recycled Paper <br />