revised
2/7/98
Rome/Floyd
Humane Society Membership Application
|
| Name________________________________________________________________________ |
| Address______________________________________________________________________ |
| City______________________
|
State_______ |
Zip____________ |
| Phone
(home)______________ |
(work)_____________ |
email:_______________________ |
| Would
you like to be put on the RFHS email list?
____________ (recieve news and meeting info. via.
email) |
| I am
interested in volunteering for: |
| |
____ Fundraising |
|
| |
____ Community
Awareness/Education |
|
| |
____ Public
Relations |
|
| |
____ Veterinary
Care |
|
| |
____ Other
_______________________________ |
Print this application out, and send it with your check or money order to:
Rome Floyd Humane Society, PMB 193, 3 Central
Plaza, Rome, Georgia 30161-3233
|