Join the Fayette County Humane Society
and Help Us to Help More Animals
Name_______________________________________________________
Address_____________________________________________________
City_______________________State_______________Zip____________
Phone_______________Cell________________Email_________________
Membership Level: Individual $15_______ Family $25_________
Bronze Paw $100________ Silver Paw $250______ Gold Paw $500_____
I would like to participate in Pet Promise by donating $_________monthly
I would like to support one cat in the adoption program for:
1 month $ 25___ 3 months $75____ 6 months $150___ 1 year $300___
I would like to support 1 dog in the adoption program for:
1 month $ 50___ 3 months $150___ 6 months $300___ 1 year $600___
I would like to serve on a committee:
Membership___ Adoption___ Fundraising___ Web Site___ Grants___
Spay/Neuter___ Trap,Neuter,Return____ Education___ Publicity ____
Please Return to:
The Fayette County Humane Society
113 1/2 S. Main St.
Washington Court House, Ohio 43160
