Safe Haven Membership Page

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Photo of Hannah, an Umbrella Cockatoo

Membership Application Form

Become a member of Safe Haven today. A yearly calendar membership fee is $25.00. In return, you will receive a subscription to our newsletter and a tax deductable receipt for your donation. Please read the following information, write it down and send it to us with your check, made out to Safe Haven, Inc.

Date:
Name:
Organization:
Street Address:
City, State, Zip:
Phone Number:
Email Address:

Send the above information to:

Safe Haven - Avian Placement & Education
S.H.A.P.E.
R.R. 2, Box 73A
Fremont, Nebraska 68025

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Most recent revision November 30th, 1999.