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The Membership Form This page is obsolete. If you want to become a member or renew, please go to this page. |
Annual Fees
(Please check one)
EC$
US$
______ Student (Under age 18) $
13.00 $ 5.00
______ Regular $ 53.00 $
20.00
______ Senior (65 and over) $ 13.00 $
5.00
______ Family $ 80.00 $
30.00
______ Corporate $300.00 $112.60
Fee Paid One Time in
______ Lifetime $500.00/$186.00
Receipt Required:
_____ Yes ____ No
Please
accept my additional donation of $___________ to help the animals of
Last Name:
________________________ First Name: _________________________
Address:
__________________________ PO Box:
____________________________
City:
______________________________ State
(US Residents): __________________
Zip/Country
Code: ______________ Country:
____________________________
Phone:
_______________________ Email:
______________________________
Signature:
______________________
Please make check or money order
payable to Anguilla Animal Rescue Foundation and mail this form and your payment to the following
address:
The