Professional Pet Assisted Therapy
| The Windwalker Humane Coalition |

Your Subtitle text
Membership Application

Windwalker Humane Coalition
Membership Form

Individual memberships are $20.-per year.
Please complete information form below and "submit."

Please mail your membership payment separately to address listed below

 

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

Please send all payments to:


Windwalker Humane Coalition   PO Box 114102    N. Providence, RI   02911

For further information about the benefits of membership please
Email: Windwalkerppat@yahoo.com Call: 401.734.1888


Windwalker Humane Coalition is a non-profit organization [501(C)3].
Your membership dues and additional contributions are tax-deductible.

Copyright . Windwalker Humane Coalition. All rights reserved.
Website created by Debra Cohen-Estes 2007