Natural History Members’ Market 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
25 
26 
27 
28 
29 
30 
31 
32 
33 
34 
35 
36 
37 
38 
39 
40 
41 
42 
43 
44 
45 
46 
47 
48 
49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 
62 
63 
64 
65 
66 
67 
68 
69 
70 
Circle the numbers that correspond to those listed on opposite page. Offer expires December 31, 1981 
Name Title. 
(please print) 
Address 
City State Zip 
Please take a moment to check the appropriate answer to the following questions 
This information is confidential 
1. AGE: 
A □ 18-34 
B □ 35-54 
C □ 55 & over 
2. SEX: 
D □ M 
E □ F 
3. EDUCATION: 
F □ Graduated College 
G □ Attended College 
H □ Graduated High School 
4. OCCUPATION: 
I □ Manager/Professional 
J □ Professional/Technical 
K □ Manager/Administrative 
L □ Clerical/Sales 
M □ Craftsman/Foreman 
N □ Other 
INCOME: 5. Household 6. Individual 
Under $14,999 O □ S □ 
$15,000-24,999 P □ T □ 
$25,000-44,999 Q □ U □ 
$45,000 & over R □ V □ 
7. OWN 
W □ 4WD Vehicle ' 
X □ Video Rec. Player 
8. MANAGE/PURCHASE 
Y □ Corporate Funds 
Z □ Office Equip. 
