Dark Star Wildlife Membership Application



Name__________________________________/Business Name_________________                              

Address_____________________/City                      __/Zip______

E-Mail______________________________________________

Phone#_____________________________________________

Website address                                                                                                       

Circle any your interest

Volunteer Opportunities     Committee or Board Involvement  

Membership Dues Annual (Circle One)..

Basic Membership Annual Fee $25.00           Non-Profit-$20.00                     Business Member $35.00

Business Member/Non-Profit Deluxe with one Page Published Website on your Business with Domain $250

Business Members/Non-Profit- we can do bigger websites contact us for more info!!

Would you like your Business/Organization Advertised on our Website  free with Paid Membership)

If so Please include you Website Address/Business Info for our  Business Member Page!!

Amount enclosed__________

Make Check or Money Order To Dark Star Wildlife Nursery..

Any Questions Feel Free To Call Us 218-247-0299

Print Out and Mail To:
Dark Star Wildlife Nursery
18743 County Rd 12
Pengilly MN 55775
Phone-218-247-0299
E-mail-darkstarwild@msn.com