Responsible Pet Owners Alliance
Membership Application

We accept

Dues:

Guardian Angel Memberships:

PATRON $100     PLATINUM $5000 or more     SUPPORTING $75     GOLD $1000 or more     DONOR $50     SILVER $500 or more     FAMILY $25     BRONZE $250 or more     INDIVIDUAL $15

Pet clubs are invited to join at any level of membership.

This membership is a: New Membership ____  Renewal Membership ____

Type of Membership:  __________________________________________________

     Name:  ____________________________________________________________

     Company: __________________________________________________________  

     Address: __________________________________________________________  

     City:  __________________________________  State:  _____   Zip Code:  ________ 

     Phone: ____________________________________________________________ 

Subscribe RPOA E-mail list: ______ (RPOA moderator posts only, 1-3 messages per week)

     E-mail address: _____________________________________________________

Payment may be made with PayPal or
to pay by mail, print out this membership application and
mail to the address below with your check or money order.
 

Mail to: Responsible Pet Owners Alliance
900 NE Loop 410  #311-D
San Antonio, TX 78209

Phone:  (210) 822-6763
Fax:  (210) 822-9038

E-mail:  rpoa@texas.net
http://www.responsiblepetowners.org

Responsible Pet Owners Alliance is a non profit 501 (C)(3) charitable organization,
approved by the Internal Revenue Service.  All donations are tax deductible.

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Copyright 2006 Responsible Pet Owners Alliance, Inc. All rights reserved.