$25 Basic membership
$35 Joint membership
$60 Sponsor
$200 Patron
$500 Benefactor
$__________ Other

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Membership options
Please send me information on Electronic Funds Transfer (automatic monthly donations starting at $5/month).
Please contact me about volunteering

Please return a hard copy of your completed form to:
Animal Defense League of Arizona
PO Box 33093, Phoenix, Arizona 85067

Please ask at your human resources office
if this donation qualifies for a matching gift
from your employer.