Parsippany Animal Supporters Society, Inc.
Membership Application
NAME: _____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY, STATE, ZIP: ___________________________________________________________________
HOME PHONE: _________________________ WORK PHONE: _____________________________
EMAIL ADDRESS: __________________________________________________________________
************************************************************************************
LET US KNOW WHAT YOU ARE INTERESTED IN:
_______ Fundraising Committee (helping to sell, bake, set up, work at location sales, cash canisters etc.)
_______ Photography
_______ Crafts (sewing, painting, general crafting, scrap booking, etc.)
_______ Cat Committee (working directly with cats to socialize, clean, groom, etc. MUST BE AGE 16+)
_______ Dog Committee (working directly with dogs to walk, socialize, clean, groom, etc. MUST BE AGE 16+)
_______ Exotics Committee (working directly with rabbits, birds, guinea pigs, etc.)
_______ Telephone communications (follow-ups with adopters, phone chain for information, etc.)
_______ Mailing committee (help with bulk mailings, etc.)
_______ Fostering (please indicate cats, kittens, dogs or exotics)
_______ Newsletter Committee (help write articles, research information, etc. for "PASS It Along!" )
_______ Spay/Neuter _______ TNR
_______ Other _________________________________________________________________
Indicating interest does not mean you are committed to participation. You will be contacted by each appropriate chairperson to help determine where you can help and how you would like to. Participation in one fundraiser per year is strongly recommended. Thanks!
************************************************************************************
I understand that being a member does not automatically qualify me as a volunteer and all volunteers must sign a Volunteer Agreement, be at least 16 years of age to work at the shelter and be approved by the Board of Directors before handling animals at the shelter. I also understand that as a member I am not authorized to represent Parsippany Animal Supporters Society, Inc. (PASS) either verbally or in writing unless I have been approved to do so by the Board at a regular meeting.
Signature: _____________________________________________ Date: ________________________
Parent or Guardian signature for Junior Memberships: _______________________________________________
Membership dues per year (January 1 through December 31) are:
___ $20 Individual (18+) ___ $10 Seniors (62+) & Students ___ $10 Junior Membership (under 18)
___ $25 Family Membership ___ $50+ Supporter Membership ___ $100+ Corporate Membership
(Supporter and Corporate Memberships will be listed in our newsletter, unless otherwise noted.)
All Members will receive the official PASS newsletter PASS It Along!
Makes checks payable to “Parsippany Animal Supporters Society, Inc” or “PASS, Inc.” and kindly forward application with payment to:
Parsippany Animal Supporters Society, Inc.
PO Box 5077
Parsippany, NJ 07054
