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