Become a Member of Willamette Wildlife Rehabilitation Today
Membership Form

As a member of Willamtte Wildlife Rehabilitation, your dues will help ensure that injured and orphaned wildlife have a safe place to go for food, shelter, and medical attention. To join, fill in the information and mail to the address at the bottom of this form.

Name: __________________________________________________

Address: ________________________________________________

Phone: _______________________ Date: _____________________

Email:____________________________________________________

Membership type:_____ New,_____ Renew, _____ Gift

Annual Membership
___ Student/Senior $15.00
___ Individual $25.00
___ Patron $100.00
___ Benefactor $250.00
___ Life $1,000.00

____ I / We would like to make an additional donation of $____________

Please make checks payable to Willamette Wildlife Rehabilitation or WWR.

Your contributions are all tax deductible.

___ I would like to volunteer to help at Willamette Wildlife.

We are always in need of dedicated volunteers. Training is provided on site. Our most critical need is spring and summer. Volunteers must be 16 years of age or older. To find out more about volunteering, call our center at 485-8440.

Please return this form along with your dues to:
Willamette Wildlife Rehabilitation
P. O. Box 10962
Eugene, OR 97440