MEMBERSHIP APPLICATION

Please enroll me as a member of the Cumberland Valley Animal Shelter so I can support the animal shelter and its humane work.

Please select one:

  $5 Junior Guardian Angel         $10 Guardian Angel         $15  Animal Friend

    $25 Kennel Keeper                $50  Caregiver                $100  Lifesaver

                            Business donation $

Name 

Business Name (if applicable)

Address: 

City:    State: 

Zip Code: 

Phone Number: (including area code)    

Email address: 

Please select one of the following options for payment:

  I will be making a donation online via PayPal, please watch your email for confirmation. (Hitting the submit button below will take you to a link for PayPal.)

  I will be mailing a check for my membership application to 2325 Country Road, Chambersburg, PA  17202 (and have made note of the change in zip code).  Please check the mail for my donation.

  I would prefer to phone in my credit card information to (717) 263-5791 for processing and will provide my full name, address and phone number for the shelter representative to whom I speak.
 

Optional online membership list:

  I would like to be included in the online member list.

         Please list me as:  

  Please don't include my name in the online member list.
 

** Please note by hitting the submit button, your information will be included in a folder waiting for payment confirmation. Your membership for the Cumberland Valley Animal Shelter will take effect once we receive payment confirmation, at which time you will be included on the mailing list for our newsletter and will receive updates on our member events.

Again, thank you so much for being so willing to help us in our efforts to care for homeless pets!!!