VVHS Membership Application
Name
Address
City
State
ZIP
Telephone
Areas of interest
Membership Only
Fundraising Activities
Foster Care
Volunteer at Shelter
Volunteer at Good-Buy Shoppe
Newsletter Production
Board Member
Membership level (Non-Business)
$ 5.00 Future Pack Leaders
$ 15.00 Jr Pack Leaders
$ 25.00 Single Supporter
$ 40.00 Household/Partners
$ 100.00 Sponsor
$ 250.00 Guardian Angel
$ 500.00 Pack Leader
$1000.00 Lifetime Member
$5000.00 Honorary Lifetime Member
Membership level (Business)
$ 50.00 Copper
$ 100.00 Bronze
$ 250.00 Silver
$ 500.00 Gold
$1000.00 Platinum
$5000.00 Honorary Lifetime Business
E-Mail
Special Instructions
Enter any special instructions or questions here