Print form, perfect and post it to AWPA, Sri Lanka

 
ANIMAL WELFARE AND PROTECTION ASSOCIATION (CEYLON)
ASSOCIATE OF R.S.P.C.A. (U.K.)
MEMBERSHIP APPLICATION FORM
  Name ……………………………………………………………………………………….
  Address ……………………………………………………………………………………….
  Tel ……………………………
         
  I wish to apply for Life Membership / Ordinary Membership
     
  Proposed by an Existing Member
  (Name) ……………………………………………………………………………………….
    ……………………………………………………………………………………….
    ……………………………………………………………………………………….
 
Signature of Proposer………………………….……..
  Life Membership Rs.1,000/- Ordinary Annual Membership Rs.100/-
(Any additional amounts as donation towards feeding animals to be included)

    I enclose a cheque in the sum of Rs….…………………………………………………..
    I support the aim of the society to promote kindness and to prevent or suppress cruelty to animals and work for the welfare of animals
         
  Date…………………………...........   Signature……………………........
 
 
 
  All correspondence & remittance to: Hony. Treasurer, AWPA, No. 14/1, de Fonseka Road, Colombo 5. Cheques in favour of Animal Welfare and Protection Association and crossed Account Payee only.
  Do not send cash by post.
 
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