Florida Wildlife Hospital & Sanctuary
4560
North U.S. Highway 1
Melbourne,
FL 32935
(321)
254-8843
An
Independent Nonprofit, Tax Exempt Organization
Name______________________________________
Address_____________________________________
___________________________________________
City__________________State______Zip_________
Phone______________Email___________________
|
o
|
Individual Membership
|
$
|
20.00
|
|
o
|
Family
Membership
|
$
|
40.00
|
|
o
|
Civic
Membership
|
$
|
100.00
|
|
o
|
Corporate
Membership
|
$
|
500.00
|
|
o
|
Benefactor
Member
|
$
|
1,000.00
|
THANK YOU FOR YOUR SUPPORT!
A
COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED
FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE 1-800-435-7352
WITHIN THE STATE. REGISTRATION DOES
NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. 100% OF CONTRIBUTIONS ARE RETAINED BY THE
ORGANIZATION. REGISTRATION NUMBER:
SC08287