Please mail donations to:

Pulaski County Humane Society
PO Box 4032
Waynesville, MO 65583

Or call:573)774-0067

 

 

 

Membership Application

Please print out this form and submit it by mail. If you are unable to open a Word document, simply print a copy of this screen by clicking “File – Print” at the top of your browser. Make check or money order payable to the Pulaski County Humane Society. You will receive your membership card and information in the mail.

We will NOT divulge members email addresses; they will only be used to forward information regarding PCHS.

Name:
Today's Date:
Address:
City:
County:
State:
Telephone:
Zip Code:
E-mail:
   
Please select if you are interested in helping with the following
Fundraising
Membership
Telephone
 
Membership Fees(Select only one)
Individual ($15.00)
Family($25.00)
Lifetime($150.00)


NOTE: If you would like to receive current updates via email, please provide a valid email address…Addresses WILL NOT be given out; they will only be used to inform you of PCHS’s announcements.


  
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