Print & Mail MEMBERSHIP APPLICATION
This form is for MAIL or FAX use only
Note: A couple may apply at the single membership rate of just $10.00. Each person
should include their name exactly as they would like it to appear. You will receive
only (1) membership certificate, but you will receive (2) separate personalized
identification cards.
Name:_(1)__________________________________________________________________________
Print name exactly as you wish it to appear on your ID card
Name: (2)_________________________________________________________________________
Print name exactly as you wish it to appear on your ID card
Address:__________________________________________________________________________
City:_________________________________________State:________Zip:__________- _________
Annual membership fee enclosed: $10.00 Check_______Cash_______Money Order______
Feel free to FAX this request to us at: 352-288-1085
Your membership kit will be mailed as soon as we receive your membership fee $10.00
Our membership address is:
P.A.W.S.
Peoples Alliance for Wildlife Survival, Inc.
Attention: Sandy Bowen
12145 SE 133rd Terrace
Ocklawaha, Florida 32179-5120
Email: Membership@PawsFloridaChapter.com
Donations to P.A.W.S. are tax deductible. P.A.W.S. holds an IRS 501 [c] [3] tax exempt status.
