Animal Protection Society of Person County

Member Contact Information

Important Notice: Your membership will not be active until we receive your membership dues, please mail a Check or Money Order payable to APS of Person County.

Mail Membership fees to APS of Person County - Post Office Box 291 - Roxboro, NC 27573-0291, Please state your membership preference in memo area of check. THANK YOU! Junior Memberships must have consent from their Parent or Legal Guardian before we approve their membership.

Annual Dues are $15.00 for adults 18 and over; $5.00 for Junior Members under 18
Please complete all fields of this form.

Membership Type:	Active Friend of APS Junior Membership
Name:	Active
Address:	Active
City:	Active
State:	Active
City:	Active
Zip Code:	Active
County:	Active
Home Phone:	Active (ex: 919-555-1234 x-123)
Work Phone:	Active (ex: 919-555-1234 x-123)
Mobile Phone:	Active (ex: 919-555-1234 x-123)
Email Address:	Active (ex: 919-555-1234 x-123)
Would you be willing to participate in any of the functions within the organization:
Committees:	Choice: 1 Choice: 2 Choice: 3
Service as Officer or Board Member:
Hours per Month You Can Donate:	hours
Help with Fundraisers:
Tell us a little about Yourself and your pets if you have any:
Do you have any areas of expertise that would be useful to the Organization, if so please explain, if not leave blank:

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