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Please fill out this membership application: Name: __________________________________ Address: ________________________________ City: ______________________ State: _____ Zip: ____________ Phone: _________________ E-mail: _____________________ [ ] Membership only [ ] Membership-willing to participte in fundraisers [ ] Membership- willing to actively participate in program planning and implementation [ ] Membership- willing to assist with direct animal welfare situations Please mail completed application and dues to: Goshen Animal Welfare League, Inc. P.O. Box 362 Goshen, NY 10924 Dues are $20 annually
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