Riley County Humane Society Membership Application

Yes! I would like to be a member of the Riley County Humane Society!

Name:

_____________________________

Full Address:

_______________________________________________________________________________________________________________

Telephone:

___________________________________

E-Mail:

___________________________________

Enclosed is a membership fee of:
Individual ….. $15
Family ……… $25
Senior ……... $10

I do not desire membership but would like to contribute __________ toward the effort.

Contact me about volunteer opportunities!

My tax-deductible membership fee or contribution goes to the support of:
Spay/Neuter Program
Cruelty Investigation
Humane Education Program
Other __________________

Please print this document, complete, and mail to: Riley County Humane Society P.O. Box 1202 Manhattan, KS 66505-1202, be sure to include your membership fee!