When you are ready, you may return to the BACK TO THE WILD! adoption page.
Name: ________________________________________
Address: ________________________________________
City / State / Zip: ____________________ ____________________ ____________________
Check Amount: $ _______ . __
Name of animal chosen: ________________________________________
Time period of support (check one):
O - 3 months . . . . . . O - 6 months . . . . . . O - 1 year . . . . . . O - Rescue to release
Make check payable to BACK TO THE WILD!
Mail your check and form to:
Mona Rutger, Director
BACK TO THE WILD!
Wildlife Rehabilitation Nature Education Center
P. O. Box 423
Castalia, OH 44824
THANK YOU!