Yes,
I would like to become a member of the Humane Society. |
| Name: | ________________________ |
| Address: | ________________________ |
| Apt#: | ________________________ |
| City: | ________________________ |
| State: | ________________________ |
| Zip: | ________________________ |
| |
| Membership Classes: (Choose one) |
| _______ | Individual | $15.00 |
| _______ | Family | $25.00 |
| _______ | Patron | $75.00 |
| _______ | Business | $100.00 |
| _______ | Senior Citizen/Student | $6.00 |
| |
| _______ | Please contact me, I would like to volunteer to help homeless animals find loving homes. |
| My phone number is_____________________. |
| |
| _______ | I would like to make an additional donation of $____________to the: - _______BARC’s Future Spay/Neuter Clinic
- _______Care and feeding of animals
|
Please make checks payable to:
BARC
P.O. Box 63
Palestine, TX 75802
We are a non-profit 501(c)(3) organization
our Tax ID # is 2-23-7420518-0
Phone# 903-729-8074
|