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ONLINE MEMBERSHIP FORM  
Membership will only be processed on receipt of payment by post. Send a cheque or bank draft made payable to Second Chance Animal Rescue Ltd to: Second Chance Animal Rescue, 23 Inis Sioda, Shannon, Co Clare.

Name:    Date
Address:
E-mail:      Newsgroup
Phone/Fax:
Mobile Home Work Fax
Interests:
Events/Publicity
Secretarial
Fundraising
Merchandising
Schools' Project
Availability for Office
Fostering
Supporting Member Only

Other (please specify):
Membership Fees:
Adult: €10
Family: €15
Unwaged /Retired /Under 16yrs : €20

Monthly Standing Order - Become an honourary member by being a sponsor.
(We will send you out a form or you can print one here.)
 €5    €7    €12    €18    €25    Other Amount
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LAST UPDATED 07/06/07

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