Gift for
________________________ Age (if child)
_______ From ____________________Read the details about the Delaware Valley Raptor Center's
Membership Program here.
(http://www.dvrconline.org/membership.html)
Print and mail this page including a check or money order to:
Delaware Valley Raptor Center
416 Cummins
Rd.
Milford, PA 18337
Make checks payable to DVRC.
If you need further information
call (570) 296-6025 or email dvraptors@yahoo.com
Name______________________________________ Telephone __________________
Address _________________________________________________________________
City _____________________________________ State _____ Zip ________________
Email Address
___________________________________________________________
(Your email address is strictly for DVRC's use
in communicating with members. It will not be sold or given out.)
Gift for
________________________ Age (if child)
_______ From ____________________
Card signed
Happy Birthday Merry Christmas
Other ___________________
Please check
applicable boxes:
New Member OR
Renewing Member
Student $25.00 Individual
$30.00 Family $35.00
Supporting $50.00 Sponsor
$100 - $249 Guarantor $250 - $499
Sustaining $500 - $1000 Patron
$1000 & Over
We thank you for your
support!
http://www.dvrconline.org