MEMBERSHIP, VOLUNTEER, AND DONATION FORM








Date __________________




Name _________________________________



Address _________________________________




City _________________________________
ST ______
ZIP __________
Telephone (Home) (___)___-______




(Work) (___)___-______




(Cell) (___)___-______

















_____
Donation




_____
Volunteer - Please send me more information!

PLEASE INDICATE TYPE OF MEMBERSHIP BELOW:

_____
New Membership



_____
Membership Renewal




_____
Individual - $10.00


_____
Family - $15.00


_____
Senior (65 or older) - $5.00


_____
Youth (under 18) - $5.00


_____
Corporate - $25.00





























PLEASE MAIL TO: PALS, Inc.



Post Office Box 3936



Savannah, Georgia 31414

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