Application for Membership      Name _____________________________________________ Date _____________________ Address ________________________________________________________________________         City __________________________ State ______ ZIP _______ Phone ________________ Membership/donation enclosed: $________ Any amount you can afford to give at this time is appreciated. We have designated categories of: $100/year - Corporate membership $40/year - Family membership $25/year - Single membership $15/year - Friend of animals(youth 12-18, seniors 62 and older) Please make checks payable to Petersburg Humane Association and send to PO Box 1417, Petersburg, AK 99833. Thank you for your support! Can you help? Foster a dog Foster a cat Foster another animal Exercise dogs Work with animals at the pound Staff our desk Create or read a radio spot Coordinate volunteers Plan fundraisers Work at fundraisers Staff our booth at a festival Donate prizes Make flyers Post flyers Sell raffle tickets Other (explain) ____________________________ January 15, 2002

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