Membership Worksheet

Select One:
Individual ($15/year) Family ($25/year)
Small Business ($100/year) Corporate ($500/year)

Name:

Address:

City State Zip Code Phone

I am interested in helping the Humane Society with:

Membership
Newsletters
Shelter Volunteer
Fundraising
Special Events
Foster Home
A donation of $ towards the operation of the shelter

Privacy Policy: We will never share or sell your information to anyone - ever!

Thank you for your support!

Please send your membership fees to:
Rock Springs Humane Society
310 Yellowstone Road, Rock Springs, WY 82901
Once fees have been received you will be sent a confirmation of membership.