AGR Membership*/Subscription Application /Membership Renewal

*(Single and above memberships include a newsletter subscription)

Accepted methods of payment 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

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?

Public Appearance AGR Member Social Media (Facebook, Yahoo Groups etc) Other Invalid Input

If recommended by an AGR Member, please tell us who

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Date of Application or Renewal

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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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Physical Address (If main address is PO Box)

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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?

Other Skills or Talents you would be willing to share

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Please select the Level of Membership desired(*)

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Please note when selecting a payment method next that a 3% convenience fee will be added to all credit card purchases.

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 a Credit Card. If you use a credit card, there is a 3% convenience fee added. If you prefer to send a check, we will notify you as soon as we receive it. Thank you for your interest in Arizona Golden Rescue.

Membership Application/Renewal

AGR Membership*/Subscription Application /Membership Renewal