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Buddies Thru Bullies

Membership Application


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Please provide the following contact information:

First Name
Middle Initial
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Cell Phone
Fax
E-mail
Occupation
Others in Household Name Relation If under 18, list age
 
 
 
 
Current Bulldogs Name

Date of Birth

(month/year)

 
 
   

Membership Dues

Membership dues are paid annually from date this form is submitted.

Dues are per household not per person.

All proceeds go to Rescue.

Please select the appropriate amount or fill in

amount in the box below if desired amount exceeds $1000.

 

$30    $50     $100     $150   

 $250     $300   $500     $1000    

Other

Do you need a receipt for tax purposes?

   
 
 
You may use PayPal to submit your membership dues

 
or you can mail your check or money order to:

Buddies thru Bullies

We are currently undergoing a reorganization and are temporarily unable to accept new adoption applications. 

Please check back for new mailing address after September 15 or call 305-666-8870 for further information.

 

** Membership Applications are not complete until dues are received.

If dues are not received within 30 days from the date of submittal,

this membership application will expire. **

 
 
 

Created by btbweb@aol.com.
Copyright 2003 [Buddies Thru Bullies, Inc]. All rights reserved.
Revised: 06/26/07