MEMBERSHIP FORM Please print this form out and send it to the above address with your payment or donation. Membership year is Jan 1st - Dec 31st Name: ____________________________________________________________ Address __________________________________________________________ ___________________________________________________________________ Telephone: Home ___________________ Work __________________________Fax ____________________ email ______________________________________ Membership for the Year 2006 __/ Renewal_________ __/ New __/ Standard ($75)____ __/ Corporate ($250) __/ Sponsor ($150)_____ __/ Donation ($___________) Please return this form with above information completed so that we can update our data base, and enclose your cheque for the relevant amount, made payable to The Humane Society of BVI Amount enclosed _________________ Date ________________________ Membership fees assist with the ever increasing overhead expenses of running the animal shelter.
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