FORGOTTEN ANIMAL SHELTER, INC.
PO Box 46
Medina, OH 44258
I want to become a member of Forgotten Animal Shelter Inc.
I am interested in the primary objectives of this organization which are to:
Raise funds to build a no-kill animal shelter to serve Northeast Ohio;
Aid in the rescue and rehabilitation of abused and abandoned animals;
Find foster and adoptive homes for homeless animals;
Help stop the over-population of animals through spay and neuter and educational programs.
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Date Birth Date
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Name
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Street Address
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Telephone Number E-Mail Address
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Signature
I would be interested in helping Forgotten Animal Shelter as follows:
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Please print and complete this form and send (with applicable dues) to the address listed above.
Please type or print legibly all information except your signature.
| Youth (under age 16) | No Dues |
| Adult (age 16-59) | $15 |
| Each additional family member (same address within same age category) | $10 |
| Senior Citizen (age 60 and older) | $5 |
Dues will be billed on an annual basis covering January through December. First dues, if other than January, are to be computed at 1/12th the annual rate times the number of months remaining in current year.
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Board Approval:
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