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 Membership 

            Hearts For Animals Inc Membership Form

Name.................................................................................................................................

Address..............................................................................................................................

...........................................................................................................................................

Membership is $10.00 a year- The Financal year is from 1st Dec to 31st Nov 200_

Please find enclosed $................. for Membership

                                  $................. for Donation

                                  $................. Total

I am paying by Money Order/Cheque (Made out to Hearts for Animals Inc)

Credit Card: Mastercard/ Visa/ Bankcard

                    Name as on card...........................................................................

                    Number              _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _

                    Expiry Date       _ _    _ _

                    Signature          .............................................................................

Hearts For Animals has a Merchant Trader Account with the Commonwealth Bank Aust.  

Please print and send to the Address at the bottom of this page.

If you have questions, or would like more information, please leave your name and contact information.

 
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