Membership Form to Print and Mail

Annual Dues & Donation Form

___ $15.00 Regular member

___ $5.00 Junior member age 14 and under.

___ $5.00 Senior member, age 65 and over

___ $5.00 Student member

___ $100.00 Life member, for self and spouse.

$_____ Sponsor/Donor who wants to support NHARL without being a member

$_____ Additional Donation

I have checked the appropriate boxes and have enclosed the total amount due:

Total Enclosed: $ ____________


Make checks payable to the NH Animal Rights League and mail to

PO Box 4211

Concord, NH 03302-4211 


Print Name:__________________________________


Print Mailing Address: ________________________



City, State, Zip: ______________________________



Telephone: ________________________

E-Mail: ___________________________

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