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New members, renewing members and donors receive an NAIA
logo pin. We hope you will wear it with pride. The logo celebrates the human/animal bond and the people who care for animals. (Additional pins are available for $10 each)
Be sure to sign up for the NAIA Newsletter and NAIA Alerts at www.naiaonline.org/library/newsletter.htm
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Please Print the page out and mail or fax your information
to us at:
NAIA, PO BOX 66579 / Portland, OR 97290
Fax 503-761-1289
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Donation & Annual Membership Form
(Use this form for new memberships, renewals,
and donations to help NAIA help animal owners maintain the human-animal bond.) |
| [ ] Supporter, $35 |
[ ] Friend, $100 |
[ ] Ally, $150 |
[ ] Partner, $250 |
[ ] Champion, $500 |
| [ ] Protector $1000 |
[ ] Patron $2,000 |
[ ] Hero $2,500 |
[ ] Angel, $5,000 |
[ ] Archangel, $10,000 |
Organization Name: _______________________________________________________________
Contact Person: __________________________________________________________________
Street Address: __________________________________________________________________
City, State, Zipcode: ______________________________________________________________
Telephone: ________________ Fax: _______________ E-mail:
______________________
[ ] Visa [ ] Mastercard Credit
Card #: ______________________ Exp.
Date:________
I can volunteer in the following ways: ______________________________________________________________________
______________________________________________________________________
You can also remember NAIA in your will. Check here [ ] or simply contact
us at the address above to receive more information about bequests.
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