AGR MEMBERSHIP*/SUBSCRIPTION APPLICATION (*Membership includes newsletter subscription)
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone
You must provide either a home phone number or a cell phone number.
First and Last name of Spouse / Significant Other (if applicable)
Email of Spouse / Significant Other (if applicable)
What skills and talents do you possess you’d be willing to share with our organization?
Other:
Which opportunities to help Arizona Golden Rescue would interest you?
Membership Levels* Choose one: Single Membership (1 Adult in Residence) $30 Household Membership (2 or More Adults in Residence) $45 Newsletter Subscription Only $16 Copper $60 Amber $100 Receive AGR calendar Topaz $250 Receive AGR calendar Pearl $500 Receive AGR calendar Gold $1000 Receive AGR calendar
Membership levels Amber, Topaz, Pearl & Gold include a complimentary copy of our AGR Calendar. Would you like to receive the AGR Calendar?*
Will you be paying with a credit card using PayPal?*
If you have chosen to pay using PayPal an invoice will be generated and sent to you via e-mail. If you don't receive an invoice and you have any questions please email us at info@arizonagoldenrescue.org.
Payment can always be made using a check. Please mail checks to Arizona Golden Rescue, 5350 W, Bell Rd., Ste. C122-158 Glendale, AZ 85308
