|Western Scrub Jay||ED-100-2044|
|Painted Snake Model||ED-100-2042|
|Mourning Dove Eggs||ED-100-0800|
|Western Nighthawk Egg||ED-100-0801|
|Virginia Rail Egg||ED-100-0802|
I, as a member of the Nature to You Loan Program, accept full responsability for all materials described above, while in my possesion, I agree with and accept all pre-existing damage reports as noted on this form. I have received, reviewed, and agree to comply with the Loan Program's "Membership Policy".
Late fee: $2 per specimen, per day.