Virginia Voters for Animal Welfare

Membership Form
 

Annual membership in VVAW is due every January 1.  Those joining in late 2006 will receive their 2007 membership free.  Membership is only $5, but please consider contributing more. 

Members of Virginians for Animal Welfare (VAW) are automatic members of VVAW.  If you are not already a member of VAW, please consider becoming one.  Contributions to VAW are tax deductible.

Membership requires your support of VVAW objectives and a commitment to write, call, email, or appear in support of VVAW legislative objectives when the time comes to do so. 
 

Thanks from the Board of Virginia Voters for Animal Welfare:

Lillian Clancy                Peyton Coyner             Debra Griggs                 Kim Kincheloe

Don Marro                   Mollie McCurdy           Pat Weakland

Membership                                   $                   5.00


Contribution                                    $                           


Total Amount of Check                   $                           

Member information:

First Name: _______________________MI: ____ Last Name:_______________________________
 

Mailing Address: ___________________________________________________________________
 

City: ________________________________________ State: _________ZIP:___________________
 

Email:____________________________________________________________________________
 

Home Phone: _________________________ Work Phone: ___________________________________
 

Cell Phone: ________________________________________________________________________

 

To what other animal groups do you belong?________________________________________________

_________________ ________________________________________________________________
Signature                                                                                     Date

Please make checks payable to Virginia Voters For Animal Welfare and mail to:

Virginia Voters for Animal Welfare
3318 Bust Head Road
The Plains, VA 20198