I WANT TO JOIN FEATHERS AND FRIENDS
___ Patron ($500) _____ Sponsor ($125) _____Donor ($60)
______Family ($40) ______ Individual ($25)
Name: __________________________________________________________________
Address: ________________________________________________________________
________________________________________________________________
Phone: ________________________________ Email: ______________________
Payment Type:
Check payable to Feathers and Friends Wildlife Rehab, LLC
Credit Card: VISA Mastercard Discover AmEx
Card Number: _____________________________________________________
Authorized Signature ________________________________________________
________I am interested in other ways to donate.
________I am interested in volunteering.