Join F O G A S
Friends
of
Gilmer
Animal
Shelter
| New [ ] | Renewal [ ]
|
[ ] $5.00 Student K - 12 | [ ] $10.00 Senior (Age 62 or older) [ ] $15.00 Individual [ ] $20.00 Senior + Family [ ] $25.00 Family [ ] $50.00 Patron [ ] $100.00 Friend [ ] $250.00 Bronze Sponsor [ ] $500.00 Silver Sponsor [ ] $1,000.00 Gold Sponsor [ ] $ __________ Other Amount [ ] $5,000 Platinum Sponsor [ ] $10,000 Benefactor | |
Individual or Family Name, as you wish to be listed:
_______________________________________________________
Street: _________________________________________________
City, State, Zipcode: _____________________________________
*Phone: ____________________________________
*E-Mail: ____________________________________
[ ] I would like to volunteer. Please contact me.
Print and mail this form and your check made out to:
Friends Of Gilmer Animal Shelter
P. O. Box 1644
Ellijay GA 30540
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: We do not sell or give away our members information. It is solely for keeping you informed of our activities. If you do not wish to be informed of our activities, please leave these sections blank.