FWRA- Membership Registration

Membership

When you join the FWRA, you become not only a supporting member, but rather one that joins a growing network of people with the same interest in wildlife rehabilitation. Education and support are among the best assets you'll have in your efforts to help wildlife.

Membership benefits include:

Quarterly newsletters which provide many topics and updates pertinent to our members
Members only email group list to network with colleagues within our membership.
Annual Symposiums pertaining to wildlife rehabilitation and related topics of interest.
A membership directory that can assist you in finding assistance throughout our membership network.
The Resource Committee: Experts on many subjects who are available to help us with unusual cases.
Our Corporate Membership Supporters receive newsletter and website advertising for the annual membership fee as well and a free space available vendor table at our symposium.


Annual Membership Level Individual ($20) Corporate ($100)

Membership Status New Renewal Update Information Only

Personal Information
*All information in this section will be published in the FWRA Members Directory UNLESS you choose to OPT OUT from being listed.*

I choose to opt out of the directory but following is my confidential information for FWRA membership purposes.

Name A value is required.	Middle	Last A value is required.	Title

Affiliation (Name of Center)

Address A value is required.A value is required.		City A value is required.	State / Province A value is required.

Zipcode A value is required.Invalid format.	County A value is required.A value is required.	Country

Home Phone A value is required.Invalid format.		Cell Phone A value is required.

Work Phone A value is required.		Fax Number A value is required.


A value is required. Email A value is required.Invalid format.		Website
I am a:
State Licensed Rehabilitator	Federally Licensed Rehabilitator	DVM	CVT

Sub Permitted Rehabilitator	Licensed Rescue and Transport	General Supporter/non rehab

Volunteer	Volunteer (For Whom?)	Other

I specialize in and will assist others with:

Emergency contact information for FWRA Disaster and Emergency Committee use only: List Names and phone numbers of the first person outside your immediate household that you would call after a disaster so we can contact them if we are unable to reach you:

Name 1		Phone Invalid format.
Name 2		Phone Invalid format.

Additional Information

This information is Vital to our goal of statewide networking for the benefit of all! *Florida Wildlife Rehabilitators Association is a 501(c)(3) organization* A copy of the official registration and financial information may be obtained from the Division of consumer Services by calling toll free (800435-7352) within the state. Registration does not imply endorsement, approval or recommendation by the state.

Check by mail Credit Card through PayPal

Use this button to print a copy of your registration for your records.

To submit your registration electronically and to proceed with payment.

Florida Wildlife Rehabilitators Association
PO Box 1449, Anna Maria, Florida 34216