Please accept this membership donation to help the animals.
____ $20 Individual ____ $30 Family ____ $100 Lifetime ____ $15 Senior Citizen
Name: _____________________________________________
Address: ___________________________________________
City/State/Zip: _______________________________________
Telephone (optional): __________________________________
email (optional): ______________________________________
I am already a Lifetime Member. Here's a special donation of $________.
Mail your donation to: RCHSC / 5302 Desiard Street / Monroe, LA 71203