Membership Application

2012 Membership Application

Become a PAWS member and join in the effort to eliminate the suffering of homeless animals throughout central Pennsylvania.

Please complete the information below. Membership is limited to those who DO NOT breed dogs or cats. Membership will be active through December 31, 2012.

This is a	*	Renewal New Membership
Please choose member type	*	Voting Member: $25.00 Junior Member: $5.00 Lifetime Member: $300.00
First Name	*
Last Name	*
Address	*
City	*
State / Province
Zip / Postal	*
Municipality	*
County	*
Email Address	*
Phone Number
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