A 501(c) 3 non-profit charitable organization

Membership Form

AAWR receives no government funding.  Your tax-deductible contributions are crucial to our success.  We are in need of volunteer help in the areas listed below, as well as monetary donations to cover the cost of food, medical care and supplies.  Thank you for your support!

Date _________________ (NOTE - Memberships is for a 12 month period)                          Name________________________________________________________ 
Address____________________________     City___________  State____ Zip________  Home Phone ___/___-____   Business Phone ___/___-____ 
Cell Phone ___/___-____  Email  _________________________________

Membership Levels: 	Associate $1,000____	Defender $500 ____ 	                                   
                                        	Protector $250   ____	Patron $100     ____ 		 
                                        	Guardian $ 50   ____	Family $35       ____		
          Individual $25   ____	Other $__________

To pay via              please visit our website at austinareawildliferehab.org.

Areas of Interest:	Rescues/Transport ____ 	Fundraising________                          
                               Rehabilitation ________  	Other_____________
                          
Return Application and Payment to:

Austin Area Wildlife Rehabilitation
P.O. Box 26366
Austin, TX 78755
(512) 709-6335