Name _____________________________________________

Address ___________________________________________ Membership $20

___________________________________________________ Donation ________________

Province ____________________Postal Code ____________ I would like to volunteer to

Phone # ___________________________________________ ____________________________

e-mail _____________________________________________ ____________________________

Members are kept informed about group activities and ____________________________

wider issues through a quarterly newsletter. ____________________________

mail to:

Action Volunteers for Animals Thank You!

P.O. Box 64578 Tax receipts will be issued at the end of the year.

Unionville, Ont. L3R 0M9 Reg. Charity # 11877-7408-RR0001