Wildlife Rehabilitators of North Carolina
Home
Membership Application
Membership is $15. To join or renew your membership complete and submit this form and then you will be given the opportunity pay using PayPal or by sending a check.
* Required
items,
**
One phone number is required
*First Name:
*Last Name:
*Address:
Address2:
*City:
*State:
NC
SC
TN
VA
*Zip Code:
Affiliation:
*E-mail:
*County:
**
Home Phone:
**
Work Phone:
**
Cell Phone:
List in Directory for members to view:
Yes
No
Include in list for Public to view:
Yes
No
Category:
Individual
Family
Permits Held:
No
Yes
Sub
State Permit
No
Yes
Fawn Permit
No
Yes
Sub
Federal
Permit
No
Yes
Falconry Permit
No
Yes
Sub
Education Permit
Rehab Species Categories:
Squirrels
Mid-sized Mammals
Rabbits
Reptiles
Opossums
Venomous Snakes
You must have a federal permit or be a subpermittee on someone else's permit to be listed as accepting birds. You will be allowed to list a group below only if you are designated as being covered by a federal permit.
Songbirds
Seabirds
Raptors
Wading Birds
Waterfowl
Specialty:
2nd member of a family membership
First Name:
Last Name:
* Required
items,
**
One phone number is required
Wildlife Rehabilitators of North Carolina
