ALAHA Annual Membership Application
All Memberships Expire December 31
st
Memberships are a Tax Deductible Gift Donation
Membership Type:
Individual Membership $25.00
Family Membership $50.00
Business Membership $100.00
Founders Membership $1000.00
Care Provider -- no charge
Name:
Date:
Mail Address:
Street Address:
City:
State:
Zip:
Phone:
Cell Phone:
Email Address:
Additional Information for Family Membership
Family Name:
1
st
Member:
2
nd
Member:
3
rd
Member:
4
th
Member:
Additional Information for Business Membership
Business/Ranch Name:
Business Address:
Type of Business:
Web Site:
Comments:
Additional Information for Founders Membership
Contact us for Private Treaty
Founding Members Names will be on all Letter Heads
Other Benefits may be Announced
