2012 Membership Appeal

Name: ________________________________	_____ $10 Kind Kid Membership
	(children 12 and under)
Address: ______________________________	_____ $15 Golden Paw Membership
	(senior 60 or older, college student)
City: _________________________________	_____ $20 Pet Pal Membership
	(individual)
State: ___________ Zip Code: _____________	_____ $35 Pack Leaders Membership
	(family 2 or more)
Phone No: _____________________________

Please make checks payable to Warren County Humane Society.

Membership Contributions are Tax Deductible for Income Tax Purposes.

		MAIL TO:		Paws Along the River 212 Elm Street Warren, PA 16365
				Thank You!