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RIPLEY COUNTY HUMANE SOCIETY, INC.

MEMBERSHIP APPLICATION

200___

812-689-3773

NAME: _________________________________________________________________

ADDRESS:  _____________________________________________________________

PHONE:  _______________________________________________________________

E-MAIL (OPTIONAL):  _____________________________________________________

WOULD YOU LIKE INFORMATION ABOUT:  ___ADOPTION   ___FOSTERING

        ___VOLUNTEERING   ___DONATIONS   ___SPONSORING AN ANIMAL

DUES ARE $10.00 PER YEAR PER PERSON OR $25.00 PER FAMILY. PAYMENT OF DUES ENTITLES YOU TO ONE VOTE AT THE ANNUAL MEMBERSHIP MEETING WHICH IS HELD IN JANUARY OF EACH YEAR. 

THE RIPLEY COUNTY HUMANE SOCIETY IS A 501 (c) 3 CORPORATION ALL DONATIONS ARE TAX DEDUCTIBLE AS ALLOWED UNDER THE IRS CODE.

Copyright © - The Ripley County Humane Society, Inc.