Nebraska Wildlife Federation Membership Form

Nebraska Wildlife Federation Membership Form
We are pleased that you want become a member of the Nebraska Wildlife Federation. Just print out the form, select the appropriate membership and area(s) of interest, and send to the address below.
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Regular Membership	Interests
$30 Individual Membership $45 Family Membership $100 Sustaining Membership $500 Patron Membership $1,000 Platinum Membership	Adopt A Stream Backyard Habitat Canoeing/Boating Conservation Work Days Environmental Education Fishing Hiking Hunting Platte River Protection Public Policy Tallgrass Prairie Whooper Watch Other _________________
Business Council Membership
$100 Basic Business Member $250 White-Tailed Deer Level $500 Grey Wolf Level $1,000 Golden Eagle Membership

Name: ________________________________________________________ Address:__________________________________ City __________________ State: ____ Zip Code:________ Telephone: (____)_____-__________ Sign me up to get: O Wildlife Action Network updates by email O Prairie Blade newsletters by email instead of US mail Email Address__________________________________________________

Mail this form to: Nebraska Wildlife Federation PO Box 81437 Lincoln, NE 68501 Or Call us at: (402) 477-1008 Or E-mail us at: NebraskaWildlife@windstream.net ______________________________________ Copyright 2003,2004, 2005, 2006, 2007, 2008, 2009 Nebraska Wildlife Federation
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