membershipform .pdf

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Title: membershipform

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MEMBERSHIP and DONATION FORM
algc is a 501C3 non-profit Organization
The animal league of gaston county is a group of volunteers that want to make a difference in the lives of
animals and their caregivers. We do not receive any financial support from local, state or federal government, The United Way, or any state or national humane organization. Membership fees will be used to
support the mission of algc, which is to promote companion animal welfare through advocacy, education
and service. Fill out form below printout and mail to algc along with your check or pay through Paypal and
send printed form in to algc after payment. Note: Membership good for 1 year from date on this form.

Date: ____________________ Name:______________________________________________
Address:_____________________________________________________________________
City:_________________________________ State:_________________ Zip:_____________
Tel:__________________________________ Cell:___________________________________
eMail:______________________________________ Best Time to Reach You:_____________
Membership Fees:
Single $25
Family (up to 6) $40
Junior (under 18) $5
Senior (Over 60) $15
Business $50
Payment:
Make Checks Payable to: ALGC
Please mail to: algc 972 E. Franklin Boulevard in Gastonia, North Carolina 28055
or
Pay with PayPal or Major Credit Card:
(If paying by PayPal - Please select from the drop down menu below and then click the PAY
NOW button and fill out the information on the page that comes up)
Please Print Form and mail to: algc 972 E. Franklin Boulevard in Gastonia, North Carolina 28054
Please reference the date of your payment application.
972 E. Franklin Boulevard | Gastonia, NC 28054 | 704.868.4673
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