Application for Membership 

Date: ___________________________

Expiry Date: ______________________

Individual :     1 Year ($20.00)    _____     5 Years ($90.00)   _____ 

Family:          1 Year ($40.00)    _____     5 Years ($175.00) _____ 

Corporate:     1 Year ($200.00)  _____ 

(Note:   Tax receipts are not issued for memberships) 

Name:            ___________________________________________________________ 

Address:        ___________________________________________________________    

                        ___________________________________________________________ 

Phone:           ___________________________________________________________ 

Email:             ___________________________________________________________ 

Donation 

I, ______________________________________, include a tax deductible donation of: 

$20.00 ____  $30.00 _____ $50.00 _____

$100.00 _____ $200.00 _____ Other $_____ 

Please send me a tax receipt* by mail: ______ 

(Note:   Tax receipts are issued for donations of $20.00 or more) 

Volunteering 

I am interested in volunteering:     Yes _____     No ______ 

If yes, please indicate your area(s) of interest: 

Board of Directors    _____                         Fundraising             _____ 

Bingo                         _____                         Cat Socializing         _____ 

Dog Walker               _____                         Dog Wash         ____                                      

Thank you for your support!