W.S.P.C.R.
 
 Chelodina siebenrocki  Veiled Chameleon & Green Tree Python

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W.S.P.C.R. - Membership
 

 W.S.P.C.R.    Membership is open to anyone interested in reptiles, not only the keepers.
         The annual membership fees are:
                         - Individual - CAD$ 25.00
                         - Family - CAD$ 30.00
                         - Outside of Canada - CAD$ 30.00

 
   Membership form   ( plain text or PDF format )
 
    Please click here for the application form in plain text format and print.
    Make your checque / money order payable to W.S.P.C.R.
    Send it to the below address:
 
                W.S.P.C.R.
                6200 Mckay Ave. Box 625
                Burnaby, BC, Canada
                V5H 4M9

 

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W.S.P.C.R. Membership Application Form
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To:    W.S.P.C.R.                (604) 51-WSPCR (519-7727)
       6200 Mckay Ave. Box 625              www.wspcr.com
       Burnaby, BC, Canada                 info@wspcr.com
       V5H 4M9



 First Name ______________ Last Name _____________________

 Address__________________________________________________

 Province ______________  Postal Code ________ - _________

 Country ____________________ 

    Male    Female       Birthday ______________________

 Phone (_______)_____________ E-mail _____________________

 Website: ________________________________________________


 I hereby apply for membership in the Westcoast Society
 for the Protection and Conservation of Reptiles. 
 I enclose the payment for the chosen type of membership 
 (please check one):
 
    Individual - $ 25	    Family - $ 30	 
	
    Out of Canada - $ 30


 Date _______________ Signature __________________________



 My Additional Info:
 =========================================================

 Currently I own these animals: __________________________

 _________________________________________________________

 Specific Interests:
 -------------------

    Amphibians	  Turtles	 Lizards   Snakes

 I would like to help out in a committee:    Yes    No

  Examples: field trips, conservation, shows, lectures, 
  education committees.


 How did you hear about us?  _____________________________

 _________________________________________________________

 _________________________________________________________

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	2004 © W.S.P.S.R. - info@wspcr.com

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