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