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