Polk County Humane Society

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Wednesday, December 03, 2008

..:: Membership ::..

Become a Member of the Polk County Humane Society

Because adoptions fees do not cover all of our expenses, we rely on generous contributions of individuals, organizations and businesses.

To become a Member, click on the following link, print out and complete the form. Mail the form with your check made payable to Polk County Humane Society to the address on the form.

Membership Application

As a Member of the Polk County Humane Society, you will:

ensure a clean, well attended shelter for dogs, cats, puppies and kittens at our shelter
provide ongoing attention to healthcare for our dogs, cats, puppies and kittens
receive quarterly issues of our newsletter which keeps you current on our events and activities and includes adoption stories and areas of interest
be able to deduct membership fee as a tax deduction or write-off
be confident that all proceeds go directly to Polk County Humane Society

Membership Application

To become a Member or to renew your membership, please print this page out, complete the membership form and submit it with your check to: Polk County Humane Society, P. O. Box 334, Bolivar, MO 65613.
Make checks payable to PCHS or Polk County Humane Society.

Name or Business Name: _______________________________________________

Contact Person for Business: ___________________________________________

Address: _____________________________________________________________

City, State, Zip code: ___________________________________________________

County of Residence: __________________________________________________

Phone Number: ________________________________________________________

E-mail Adress: ________________________________________________________

Membership Category:

_____Individual, $25 per year

_____Individual Lifetime, $100 one time fee

_____Corporation, $50 per year