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Print out
form and complete with your information. Mail completed form to
address below with your payment. Please print or type clearly.
Membership:
Individual
$20, Corporate $40
Donation ___
$20 ___ $40 ___ $60 ___ $100
Please contact
us about sponsorship for our events.
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Type
of Membership
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Individual or Corporate
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New or Renewal
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| Name |
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| Address,
City, State, Zip |
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Capitola
Neighborhood Area |
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| Email
for newsletter |
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| Dog's
Name and Breed |
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| Phone |
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I'd like to
volunteer:
__ Assisting with C-DOG events __ Keeping The Coast Clean ___
Phone Tree
__ Attending Meetings __ Newsletter production
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I agree
to be a considerate and responsible dog owner and guardian by caring
for my dog's health needs, safety and quality of life. I agree to
ALWAYS pick up after my dog(s), to be considerate to others and
to help ensure that dogs are welcome where ever I go. |
| Signature |
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Mail
completed form with check or money order (US funds only) to:
C-DOG, 500 Oak Drive, Capitola, CA 95010
Incomplete or illegible forms will be returned.
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