Annual Fees

(please check one)

                                                                                                  EC$           

______ Student (Under age 18)           $ 13.00                       

______ Regular                                   $ 53.00

______ Senior (65 and over)               $ 13.00

______ Family                                     $ 80.00

______ Corporate                               $300.00

Fee Paid One Time in Eastern Caribbean Currency ($EC)

______ Lifetime                                   $500.00

Please accept my additional donation of $________ to help the animals of Anguilla.  

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 Anguilla Animal Rescue Foundation

PO BOX RI 4228

The Valley

Anguilla, BWI

Country Code # 106

Amount Paid:  _______________    Cash:  ____________ Check #: _______________   Date:  ____________

Thank You For Your Donation