Name: ________________________________________________
           (Please print)

Address: _______________________________________________
               street

               _______________________________________________
               city     state     zip

Telephone: (_____)_______________________________________

Email: __________________________________________________

New Member: _______      Renewing Member: ______

Annual Membership Cat-agories

$10.00: _______ Kitten
$20.00: _______ Individual
$50.00: _______ Family
$75.00: _______ Contributor
$Other: _______ Friend

Be sure to include your Matching Gift Form, if available, from your employer.

Dues and donations are tax deductible to the fullest extent of the law.

Privacy Notice

Your privacy is important to us. The information you provide is used only for the purpose of membership.
We will not sell, trade or otherwise provide your personal information to any third party.

~Thank You~