Wild Canid Survival and Research Center Membership Form

    - Simply print this form, fill it out, and mail it back to us!
 

    

 NAME: __________________________________________________________

 ADDRESS: _______________________________________________________

 CITY: _________________________ STATE: _________________________

 ZIP CODE: _____________________



 ___ My check or money order payable to the Wild Canid Center is enclosed.

 ___ Charge my:  ___ Mastercard  ___ Visa

     Account Number: _____________________________________________

     Expiration Date: ____________________________



     Signature: ______________________________________________  

     Date: _____________________________


 MEMBERSHIP LEVELS:
		
	$1000 Alpha Wolf (Includes limited editon signed and numbered print)
		
	$500 Benefactor  (Includes one-year wolf adoption and a poster)
		
	$250 Sponsor (Includes one-year wolf adoption and notecards)
		
	$125 Adopt-A-Wolf (Includes one-year wolf adoption)
		
	$100 Contributor ( Includes set of notecards or wolf calendar)
		
	$50 Family Pack 
		
	$30 Lone Wolf (Individual)
	


Foreign countries add $15.00 for postage.




    Mail this completed form to:

 WCSRC
 Post Office Box 760
 Eureka, Missouri  63025


    If you need more information, please
feel free to call 636-938-5900 Monday through
Friday, 9am to 5pm. Or e-mail edu@wolfsanctuary.org