Membership Information Sheet

Name (as you would like for it to appear on the membership card):

_____________________________________________________

Date (for our records): ___________________________________

Mailing Address: _______________________________________

City/State/Zip: _________________________________________

Telephone:____________________________________________

E-Mail: _______________________________________________

Please enter/renew my membership at the following level:

______ Fawn, $15 (Child/Student)

______ Feathered Friend, $35 (Individual Membership)

______ Furry Family, $50 (Family Membership)

______ Songbird, $100

______ Wildlife Partners, $150 (Group)

______ Raptor, $500

______ Eagle, $1000

_____ My check, payable to WWC, is enclosed.

_____ Also enclosed is an additional tax deductible gift of $______ for

general operating support.

_____ Please send me information about becoming a WWC volunteer.