Humane Society NL

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Return Service Requested NON-PROFIT NO-KILL ANIMAL SHELTER P. O. Box 451205 Grove, OK 74345-1205

CAR RT. SORT U.S. Postage PAID PRESRT STD Permit No. 45 Grove, OK 74344

OF GROVE AND GRAND LAKE, INC.

HUMANE SOCIETY

_____________________________________________________________ 2012 MEMBERSHIP APPLICATION CUT ALONG DOTTED LINE PLEASE LEND A HELPING PAW!

BASIC MEMBERSHIP • Student (16 & Under) $10_______

• Individual

• Family $50_______

• Business

• Annual Angel $100_______

$25_______

$50_______

PAWS MEMBERSHIP • Bronze Paw $200-$499 _______

• Silver Paw $500-$999 ________

• Golden Paw $1,000+ _______

ADDITIONAL DONATION $________________ SPONSORSHIP $_____________on the _______day of each month beginning _____________. DATE ________________________________________________________________________________ Name ________________________________________________________________________________ Address____________________________________City________________State______Zip __________ Home Phone __________________________________________________________________________ Cell Phone ____________________________________________________________________________ E-mail Address (for E-Newsletters)

________________________________________________________

Make checks payable to: Humane Society of Grove & Grand Lake -

P.O. Box 451205/Grove,OK 74345-1205

JOIN TODAY & BECOME AN EVERYDAY HERO!


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