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Yes, I would like to become a member of
the Bond County Humane Society:
_____ $1,000.00 Lifetime
_____ $100.00 Corporation/Organization
_____ $50.00 Family
_____ $30.00 Individual
_____ $5.00 Senior (55 and older) / Student (13 and under)
_____ Other (Donation only, non-member)
Name: _________________________________
Address:
________________________________________
City: _________________________
State: _________ Zip: _________
Day Phone: (____)________________
Evening Phone (____)_________________
Email Address:
________________________
Donations make a wonderful memorial
gift. If you wish your donation to be a memorial,
please fill out the information below.
This donation is given in memory of:
_______________________________
Recipient Address:
_______________________________________________
In memory of : _____ cat
_____ dog _____ person _____ other
(e.g., bird, lizard)
_____ Yes, I would like to be on
the Bond County Humane Society mailing list.
_____ Yes, I would like to
receive newsletters, event notifications, and other materials via
email.
_____ Yes, I would like to be a
foster home.
_____ Yes, I would like to be a
volunteer.
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