Membership Drive

Name: __________________________________________________________

Address: _________________________________________________________

Phone Number: ___________________________________________________

Email Address: ____________________________________________________

Individual membership $15.00

Family membership $25.00

Corporate membership $50.00

Donation amount $__________

Total amount $__________

Please mail to:

Liberty Humane Shelter

P.O. Box 1481

Hinesville, GA 31310

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we will save more!