Membership Form

IHR East

Membership Form

Animal Protection Coalition is always happy to accept new members.
If you are joining us through our website, you can complete the following and use PayPal to pay your membership
or print out this form and mail it, along with your membership fee to:

Animal Protection Coalition
916 S. Prairie Ave
Frankfort, IN 46041
(765) 659-5209

Please Do Not send cash, make checks or money orders payable to
Animal Protection Coalition.

Membership fees are considered donations and are nonrefundable.
Your membership fees go directly to care for the animals we rescue.
All memberships last for one year after they are issued.

Name

Business Name

Address

City

State, Zip Code

Daytime Phone

Evening Phone

E-Mail

Do you Own a Horse?

Do you own a Dog?

Do you own a Cat?

Other Pets?

Membership Types:

Student	$10.00	Yearly
General	$25.00	Yearly
Organization	$75.00	Yearly
Sponsoring	$150.00	Yearly
Lifetime	$1500.00	Yearly

Contact Name

If this is to be a gift, please complete the information below
Name

Address

City

State, Zip Code

Daytime Phone

Personal Note

Please make check payable to Animal Protection Coalition
or click below to use Pay Pal.

Student Membership $10.00

Organization Member $75.00

Lifetime Member $1500.00

Animal Protection Coalition is a 501(c)3 Non-Profit Organization.

With Your Help...We Will Make a Difference"

Indiana Horse Rescue East
temporarily closed as of 4/30/08

Contact Indiana Horse Rescue 812-729-7697