WRAM Membership Form
The Pre-Veterinary Society is covering the cost of a one-year student membership ($15/ person) to the Wildlife Rehabilitator's Association of Massachusetts (WRAM) for the first 30 interested students.

The Pre-Veterinary Society will need to register each student for WRAM membership with the Tufts Community Union credit card so we will be asking for all information required to make a new WRAM account, including address, account username, and account password. This information will remain private and be cleared from Google Form responses upon account confirmation

Form questions are based off of the information asked for on this student membership registration page: https://wraminc.org/register/wram-student-membership.

We will send out an email to all interested students once membership interest has been capped and everyone has been registered. We will reach out to you by email address (from tuftsprevet@gmail.com) if there are any issues with your first choice account username or password during membership registration.

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First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
Country *
State/ Province *
Zip/ Postal Code *
Home Phone
Cell Phone
Do you have a State Wildlife Rehabilitation License? *
Do you have a Federal Wildlife Rehabilitation License?
*
Are you a new member?
*
Username *
Tufts Email Address *
Personal Email Address (if preferred for membership registration over Tufts email address)
Password *
Class Year *
How did you hear about this membership opportunity? *
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