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PLEASE ACCEPT MY MEMBERSHIP FEE TO HELP UNWANTED ANIMALS
We accept Cash, Credit/Debit Cards (At the shelter, 6111 E. Highland), or Checks.
$35 Basic membership (includes 10% off participating restaurants) $50 V.I.P. membership (10% discount at local veterinarians and participating restaurants) $125 Bronze Patron $250 Silver Patron $500 Gold Patron $1000 Platinum Patron
Name:___________________________________________________
Phone:___________________________________________________
Street:_________________________________ Apt.:______________
City:_________________________ State:__________ Zip:_________
Email Address:_____________________________________________
Credit Cards Accepted; Visa, Discover, Mastercard, American Express
Card # :____________________________________________________
Name on Card:______________________________________________
Expiration Date:_____________________________________________
Mailing Address if different from Street Address:
Street:_________________________________ Apt.:______________
City:_________________________ State:__________ Zip:_________
Please enclose your check or Credit Card information, payable to The Northeast Arkansas Humane Society and mail this form to:
Northeast Arkansas Humane Society P.O. Box 1042 Jonesboro, AR 72403-1042 |
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