Membership Form
Humane Society of Harrison County Ohio
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you able to volunteer?
Yes
No
Are you interested in becoming a foster?
Yes
No
Would you like to receive our quarterly newsletter?
Yes
No
How did you hear about us?
Current member
Facebook
Instagram
Fundraiser event
Other
Signature
*
Payment
$10 for an individual or $15 per household. Please specify on check if it is an individual or household membership. If you are paying with Square, please note there is a 3.3% surcharge in addition to your membership fee. To pay by check, please send payment by check to: Humane Society of Harrison County PO BOX 404 Cadiz, OH 43907
My Products
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Single Membership
$10.00
$
10.00
Household membership
$15.00
$
15.00
Membership for all members under your roof.
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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