Join ~ Contact us ~
a Disaster Plan for your Facility
AHA Consulting Services
Campaigns in your Community
Itâ€™s easy! Print this form and send it
to us with your payment. When paying by
MasterCard/Visa or P.O.#, feel free to fax this form to us at
303-792-5333. If mailing, send to: American Humane Association, Dept 0827,
Denver, CO 80263-0827.
agency wishes to enroll/renew as a member of AHA. Enclosed is our annual fee.
Select one:$25 Affiliate
Director/dept. head name
Agency phone ()Ext
Directorâ€™s phone ()Ext
Check or money
order made payable to American Humane AssociationPurchase order
Expiration date (required)
Print name as it appears on the card
Agency type (check only one):local (city, county,
We are a (check only one):
If you are a sheltered organization, check all that apply:
non-profit with animal control contract
If you are a non-sheltered organization, check all that apply:animal
We have a (check all that apply):spay/neuter
charitable veterinary clinicmobile
adoption center with retail storefull-service
facility (open to the public)other______________________________
We employ _______ permanent full- and part-time people.
Last year, we handled __________ animals, including animals that we fostered,
adopted, neutered, etc. through other types of agencies.
Our budget for the most recent fiscal year was $___________.
Humane education director
Cruelty investigation director
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