Membership Application

Professional Pet Assisted Therapy
| The Windwalker Humane Coalition |

"A unique, passionate, and energetic voice for people and animals via PPAT." (Salotto 1998)

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Windwalker Humane Coalition
Membership Form

Individual memberships are $20 per year.
Please complete information form below.

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:	Enter comments here!

Print and send to Windwalker Humane Coalition PO Box 7451 Cumberland, RI 02864

Please send all payments to:

Windwalker Humane Coalition

190 Mill Cove Road

Warwick, RI 02889

For further information about the benefits of membership please
Emailfallyv@cox.net : Call: 401.734.1888

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