HOLMES COUNTY HUMANE SOCIETY
PO BOX 442 Millersburg Ohio 44654-0442
Voice Mail: 330-674-PETS (7387)
www.holmeshumane.org

2006 MEMBERSHIP FORM

Yes! I would like to help the animals of Holmes County!
Full Name: ________________________________________________
Address: __________________________________________________
City/State/Zip: ______________________________________________
Day Phone: ___________________Evening Phone: ________________
Email Address: _____________________________________________

May we contact you about volunteering? Yes ____ No ____ Maybe ____
        
  • Note: We do not share our mailing list with anyone. None of the above information
    will be shared with any outside organization and all of it will remain confidential.

  • I would be interested in learning more about the following fundraisers/events:
    January: Membership Drive _____
    February: Spay/Neuter Kick Off Month _____
    March: Creating the HCHS Cookbook _____
    April: Dog Walkathon _____
    May: Annual Bake Sale _____
    June: Car Wash and Flea Dip _____
    July: Annual Garage Sale _____
    August: Holmes County Fair Booth _____
    September: Lakeville Speedway Raffle Night _____
    October: Fur Ball "Fun" Raiser _____
    November: Cookie Mix Sale just in time for Christmas! _____
    December: Annual Pictures with Santa _____
    I have an even better idea for a fundraiser! Call me! _____
     
  • 2006 Annual Membership Dues:
    Your contribution is fully tax-deductible!
    _____ $ 15.00 Individual
    _____ $ 25.00 Supporting
    _____ $ 30.00 Family
    _____ $ 75.00 Business
    _____ $100.00 Sustaining
    _____ $250.00 SponsorRenewed Membership ____
    _____ $500.00 Life MemberNew Membership ____
     
    Thank you for your financial support!   The Holmes County Humane Society is an independent
    non-profit group. 100% of funds raised stay in Holmes County to help abused, abandoned or
    animals in need.