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Membership Application
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Membership_Form.pdf
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Natchez-Adams County Humane Society Membership Application

 

Your membership and participation in our organization’s events are fundamental to the cause of animal welfare in our community. There are many different ways you can help make a difference.

Please complete the form below, checking the areas that might interest you as a volunteer.

 

 

Annual Dues (Membership year runs January 1-December 31)

Please check one:

 

___   $10 Youth Membership

___   $25 Single Membership (age 18 and older)

___   $50 Family Membership (entitled to two votes)

 

Make checks payable to NACHS.   Mail this form along with your dues to the Natchez-Adams County Humane Society (or NACHS), P.O. Box 549, Natchez, MS 39121

 

 

Name: _____________________________________________________ Phone: __________________ 

 

Mailing Address: ____________________________________________________________________

 

City ____________________________________ State _______      Zip _______________

 

Email: _______________________________________________________________________________

 

 

__  Will help serve at cocktail parties

__  Will volunteer in t-shirt booth at the Balloon Race

__  Will volunteer at Bark in the Park

__  Will donate food for annual meeting or cocktail parties

__  Will do hands-on work at the shelter such as dog walking

__   Will donate an item for the silent auction

__  Will support, but do not call me.

__  Willing to serve on a committee

__  Other ways you are willing to help: _____________________________________