I would like to join with the Animal Shelter Inc. and help care for homeless animals as:
| _____ | A Senior Member |
$10 |
| _____ | Junior Member |
$5 |
| _____ | A Family Membership ( 2 Adults + All Dependants 18 and Under ) |
$15 |
_____ I would like to sponsor a specific animal:
| _____ | Cat | $10 / Month | |
| _____ | Dog | $15 / Month | |
| _____ | Horse | $60 / Month | |
| _____ | Please send me a list to choose my own animal. | ||
| _____ | Please assign me a needy animal and send me information about it. | ||
| Name: | _______________________________________ |
| Address: | _______________________________________ |
| E-Mail Address: | _______________________________________ |
| Phone: | _______________________________________ |
| Additional Family Members: | _______________________________________ _______________________________________ _______________________________________ |
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