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Vet of the Year - New York State Wildlife Rehabilitation Council

Vet of the Year - New York State Wildlife Rehabilitation Council

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NYSWRCP.O. Box 62<strong>New</strong>comb, NY 12852www.NYSWRC.orgQuestions: nisseq@aol.com<strong>Vet</strong>erinarian <strong>Wildlife</strong> Seminar& continuing education creditsNEW YORK STATE WILDLIFE REHABILITATION COUNCIL, INC.MEMBERSHIP APPLICATIONEntitles you to <strong>the</strong> quarterly newsletter, Release_____NEW_____RENEWALComplete all information below and make checks payable to: NYS <strong>Wildlife</strong> <strong>Rehabilitation</strong> <strong>Council</strong>, Inc. Please print clearly.____GENERAL: $25.00 ____HOUSEHOLD: $40.00 ____ORGANIZATION: $50.00NAME(S):AFFILIATION:ADDRESS:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________CITY, STATE, ZIP: ___________________________________________________________________________PHONE home: (___)___________ work: (___)____________ e-mail:Species handled: ___________________________________________________________________________Knowledge and skills willing to share: __________________________________________________________Return form to: Jean Alden, NYSWRC Membership, 1850 N. Forest Rd, Williamsville, NY 14221

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