Clark County Humane Society
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Much of the work at CCHS is supported by the members of the Humane Society. Membership is available for just $10.00 per year, and will entitle you to receive our "Great and Small" newsletter. To start or renew your membership, you can print out and submit the following form along with your payment to:
CCHS
P.O. Box 127
Neillsville, WI 54456
 
You may also choose to start or renew your membership through "Click and Pledge".  Just click on the button below and choose the "Membership" category.  Be sure to include your name and address so that we can send the "Great and Small" Newsletter to you.

Please also note any special donations you may wish to make in addition to your membership fee.
Thank you for being a part of CCHS!
 

MEMBERSHIP FORM

Name___________________________________________

Address________________________________________

City___________________State_____Zip_________Phone__________

E-mail address_________________________________



Donation Amount:______________

Donation Date:________________

Purpose of Donation (Mark with an X):

____Membership Renewal
____Spay/Neuter Fund
____Memorial Donation (Given in memory of pet or person)
In memory of:__________________________________________
____Honorary Donation (Given in honor of pet or person)
In honor of:___________________________________________
____Education Fund
____Trees & Flowers
____Building Maintenance
____Kitten Room 
____New Tile Flooring
____New Surgical Room 
____Emergency Medical Fund
____Food & Supplies
____Endowment Fund (to ensure the future of CCHS)
____Special Cause
____Kind News Sponsor
____Wherever needed most
____Other - Please Specify:
________________________________________________________
________________________________________________________
________________________________________________________

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