Humane Society of Tuscola County
P.O. Box 245, Caro, MI 48723
(989) 672-PETS (7387)

Annual renewal date is October 1st. Membership dues paid between October 1st and March 31st will be for the full amount. Dues paid from April 1st through September 30th will be for half the amount listed (Family - $12.50, Indiv. - $7.50, Student - $2.50)

Please print to insure accuracy of our records

_____Individual (one adult)                                           $15.00 annual dues
_____Family (two or more in home)                              $25.00 annual dues
_____Student (17 years & under)                                    $5.00 annual dues

_____Additional contribution to assist ongoing programs

 Total Amount Enclosed    $___________

NAME________________________________________________________________________

ADDRESS____________________________________________________________________

CITY___________________________________ STATE ZIP________

EMAIL ADDRESS _________________________________________________________

HOME PHONE________________________ WORK PHONE___________________________

DATE________________________ SIGNATURE ____________________________________