Donation and Membership Form for
The Florida Panther Society, Inc.
Please print out and mail to the address below.

I wish to make a donation to:
____ join The Florida Panther Society
____ renew my membership

Name: _________________________
Address: _________________________
City: _________________________
State: _________________________
County: _________________________
Zip: _________________________
E-mail address: _________________________

Please indicate your donation level (check one):
$300_____Life member
$100_____Sustaining member (5 yr.).
$30/yr._____Contributing Member
$30/yr._____Societies, Clubs, Groups
$20/yr._____Annual Member
$12/yr._____Student (12 and under)

Please make checks payable to:
The Florida Panther Society, Inc.
and mail to:

The Florida Panther Society, Inc.
P.O. Box 358683
Gainesville, FL 32635-8683