Membership Application/Renewal

AGR Membership*/Subscription Application /Membership Renewal

*(Single and above memberships include a newsletter subscription)

This form is for Online Membership Applications and Renewals using our new Online Payment process by Intuit (makers of TurboTax, QuickBooks and Quicken) in addtion to our previously accepted methods of payment which include credit cards and checks. If you prefer to mail in a check, select the US Mail Check option for payments and mail the check to Arizona Golden Rescue, 5350 W.Bell Rd.,Ste C122-158, Glendale, AZ 85308

Online Payment Method



Payment of your Online Membership Application or Renewal Fee when done using our new Intuit Payment Network's Online payment processing allows you to make a secure online payment using your checking or savings account. All you need is your Bank Routing Number and Checking/Savings account number. Checking information can be found on the bottom of your check and savings information from the bottom of your savings deposit slip.

Security of your Online Checking is as follows:



Data encryption: Intuit Payment Network adheres to rigorous online banking industry protection standards for all online communication, using an https connection over SSL (Secure Socket Layer) at 256-bit AES encryption.

Privacy: Intuit safeguards your financial information. Arizona Golden Rescue can't see your bank account information.

Limited exposure: When you hand a paper check to someone it contains your Bank Routing and Account number. When you pay using Intuit Payment Network, this information is not shared with the receiver of the payment.

Is this a new Application or a Renewal(*)
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If this is a new Membership Application, how did you find out about Arizona Golden Rescue?
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If recommended by an AGR Member, please tell us who
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Date of Application or Renewal
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This is the Date Stamp for the Membership Application

Your Name(*)
Please let us know your name.

Your Email(*)
Please let us know your email address.

Significant Others Name
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Significant Other's Email
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Address(*)
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City(*)
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State(*)
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Zip(*)
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Home Phone
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Cell Phone
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Work Phone
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Preferred Number to Call
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What skills and talents do you posess that you would be willing to share with our organization?
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Other Skills or Talents you would be willing to share
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Which opportunities to help Arizona Golden Rescue would interest you?
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It is important to AGR that you receive announcements about our activities and events. Please indicate method(s) which works best for you.
(*)
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Please select the Level of Membership desired(*)
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All Membership levels Single and above also include a newsletter subscription

Please note when selecting a payment method next that a 3% convenience fee will be added to all credit card purchases. No addition fee is added for Online Check.

Method of Payment(*)
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After you hit the send button below to submit your application/renewal you will be directed to the payment page where you will be able to make your payment online with either a Credit Card or Online Check via the Intuit Payment Network. If you use a credit card, there is a 3% convenience fee added. If you make your payment using the Payment Network Buttons your payment will be automatically submitted and will be credited in 1-2 business days when we are notified by Intuit. If you are sending a check, we will notify you as soon as we receive it. Thank you for your interest in Arizona Golden Rescue.

  

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