Wildlife Action of Georgia

Membership/Sponsorship Online Application

Click Here for print and mail form

Or complete and submit the electronic form below

Select Processing Type New Member Renewal Sponsor	Choose Membership Level $30 Individual 1-Yr $60 Individual 2-Yr $40 Family 1-Yr $80 Family 2-Yr $400 Individual Life $600 Family Life	Sponsorship Levels
		$200 - $400........... $500 - $999........... $1,000 - $9,999..... $10,000 - or more Sponsorship Pledge	Guardian Protector Conservator Benefactor $

Member Information:

Name	(required)
Age	(optional)
Mailing Address	(required)
City	(required)
State		Zip	(required)
E-mail	(required)
Phone	(required)
Alt Phone	(Optional)
	Yes, I want to become a member of Wildlife Action, Inc. I will abide by the WLA Constitution and By Laws.
	I would like to pay my dues ... ONLINE (Pay Pal the safe way to pay without sharing your bank or credit card information.) - Will you help us offset the 4% processing fees by adding donation of $? CHECK - You will receive a form via email to send mail in with your check.

By submitting this form you will receive an email confirming your request /pledge and a Pay Pal invoice if ONLINE payment method is clicked or a completed print form if CHECK method is chosen.

Currently this form does not self clear.

After pressing the submit button and getting the message that the form will be submitted via email, click here.

Hopefully I can figure in the near future out how to make the form once submitted move on to the next page. If you know how to do this please email the webmaster thanks.

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