MEMBERSHIP AND DONATION FORM

MEMBERSHIP
AND DONATION FORM

Enclosed is my contribution toward your important work on behalf of animals.

Basic Membership
$25

Student Membership
$10

Contributing Patron
$50

Lifetime Membership
$250

HAWA Lifesaving partner
$1000

Other
$______

Please tell us if this gift is in memory or honor of your treasured pet(s):___________________.
Please circle below if you are interested in working on one of our committees:
Membership               Events
Fundraising                  Foster Care
Education                    Pet Adoption

Name: ________________________________________________________
Address: _______________________________________________________
City: ______________________________________ State: ____ Zip: _______
Phone: (_____) ________-_________________
Email: _________________________________
Date: __________________________________

Please send this completed form with your Tax-deductible donation to:

Haywood Animal Welfare Association

PO Box 992

Waynesville, NC 28786

(828) 452-1329

THANK YOU FOR CARING

MEMBERSHIP AND DONATION FORM
Enclosed is my contribution toward your important work on behalf of animals.
Basic Membership	$25
Student Membership	$10
Contributing Patron	$50
Lifetime Membership	$250
HAWA Lifesaving partner	$1000
Other	$______
Please tell us if this gift is in memory or honor of your treasured pet(s):___________________. Please circle below if you are interested in working on one of our committees: Membership Events Fundraising Foster Care Education Pet Adoption Name: ________________________________________________________ Address: _______________________________________________________ City: ______________________________________ State: ____ Zip: _______ Phone: (_____) ________-_________________ Email: _________________________________ Date: __________________________________
Please send this completed form with your Tax-deductible donation to: Haywood Animal Welfare Association PO Box 992 Waynesville, NC 28786 (828) 452-1329 THANK YOU FOR CARING