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Endangered Species Conservation Federation
LIOC-ESCF Membership Application
Mail-In Form, Version 2002/10-Web
Name: ______________________________
Phone: ______________________________
Address: ______________________________
City: _____________________ State: ________ Zip: ______________
Country: ______________________________
Email: ______________________________
Date: ______________________________
Do you currently own an exotic feline:spaYESspa NO
If "YES", which species: ________________________________________
_________________________________________________________
I learned of the LIOC-ESCF from: ______________________________
Please send completed form and check ($30.00, payable to the "LIOC Endangered Species Conservation Federation, Inc.") to:
LIOC-ESCF, Inc.
Membership Application
P.O. Box 216
Pleasureville, KY 40057
For more information about the LIOC-ESCF, email Leann Montgomery at:memberservices@lioc.org.
