MEMBERSHIP APPLICATION
I hereby apply for membership in the Chihuahuan Desert Wildlife Rescue as a/an:
INDIVIDUAL . . . . . . . . . . $10.00
FAMILY . . . . . . . . . . . $15.00
CONTRIBUTOR . . . . . . . . .$25.00
Enclosed is my contribution for $____________ in addition to my membership.
NAME_______________________________________PHONE_________________________
ADDRESS______________________________________________________________________
CITY________________________________________STATE___________ZIP_______________