Twin County Humane Society Membership Form

TCHS 2022 MEMBERSHIP APPLICATION

P.O. Box 125, Hillsville, VA, 24343 | Helpline: (276)779-9418, tchshelpline@gmail.com twincountyhumanesociety.org | Facebook.com/twincountyhumanesociety
Be a part of the lifesaving work that TCHS provides to animals in the Twin Counties.

Join today!
What type of membership are you interested in?

Personal membership Local business sponsorship Both
Personal Membership (you may choose more than one):

Individual - $25 Family - $50 Student/Senior - $15 Patron - $100 Gift* - $25
All members will receive a TCHS brochure, donation receipt, and TCHS sticker by mail. Patrons will also be named on our website (note below if you wish to remain anonymous).

*Gift membership recipients will receive a card with a brochure and sticker, and the name of the giver, if requested.
For gift membership, please provide name and mailing address of recipient below. Specify if you wish your gift to remain anonymous.
Please check below if you do or do not want your name to appear on our website.

Yes, please include my name as a patron! No thanks, I would prefer to remain anonymous.
Local Business Sponsorship (please choose one):

Beagle - $100 Border Collie - $250 Golden Retriever - $500 Great Pyrenees - $1,000
All business sponsors will be named on our website for the calendar year.

Golden Retriever and Great Pyrenees will also receive a mention in our newsletter.

Additionally, Great Pyrenees will also receive a mention on our Facebook page.
Would you like to add an additional donation amount to your membership?

Yes I would! Not at this time, thanks.
How much extra would you like to donate?
Check if you would like to receive information about fostering animals or volunteering with TCHS. Or go to www.twincountyhumanesociety.org/get-involved for more information or to sign up.

Yes please! Not right now, thanks.
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Business Name
Address

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E-mail
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Phone Number

Area Code Phone Number
Call us at (276)779-9418 or email us at tchshelpline@gmail.com if you have any questions.

All memberships are valid for the calendar year 2022.

TCHS is an all-volunteer 501(c)(3) organization. All membership fees are tax deductible.
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TCHS 2022 MEMBERSHIP APPLICATION