MEDINA COUNTY
SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
MEMBERSHIP FORM
Welcome, New Member!!
____ Single
$25.00
____ Senior $10.00 per person
____ Family
$40.00
____ Lifetime $275.00 per person
____ Student
$10.00
____ Corporate $200.00
(18 years or younger) (Includes 4 ads in Newsletter + link on web)
Join on line at the bottom of
this page.
Members are mailed a copy of our Quarterly
Newsletter
In addition to my membership I would like to make
a:
_____ Donation
$_______
_____ Memorial
$_______
In Memory of:__________________________________________
Please make all checks
payable
Date Paid:____________
to the Medina County
S.P.C.A.
Check #: _____________
PO Box
135
Amt. Paid: ____________
Medina OH
44258-0135
Mr.
Mrs.
Mr. & Mrs.
Ms. _______________________________________________________
Address: ___________________________________________________
City: _______________________ State: ______ Zip: ________________
Phone: _____________________ E-Mail: _________________________
I am interested in finding out more about the
following:
____ Adoption
Committee
____ Being a Cat Foster Home
____ Fundraising Committee ____ Being a Dog
Foster Home
____ Newsletter Committee ____
Membership Committee
____ Humane
Education
____ Grant Writing Committee
Join on line...