CIHS Membership Form
Cayman Islands Humane Society
.
First Name
*
Last Name
*
Address
*
District
*
Island
*
Zip Code
*
Country
*
Email Address
*
Telephone Number
*
I am a new Member
No
Yes
I am paying my annual fees for the following membership (please tick):
Full Membership (annual fee = CI$80)
Full Member (annual subscription fee = CI$80)
No
Yes
Associate Member (annual fee = CI$60)
Associate Member (not eligible to serve as a director) (annual subscription fee = CI$60)
No
Yes
(not eligible to serve as a director)
Please detail why you are interested in becoming a member of the Cayman Islands Humane Society, including information regarding any current involvement with the Society
Please detail why you are interested in becoming a member of the Cayman Islands Humane Society, including information regarding any current involvement with the Society
*
I have read and agree to be bound by the Memorandum and Articles of Association of the CIHS.
Date
*
Method of Payment:
Cash
Cheque
Card
you can make card payment over the phone or in person at the shelter
Signature
*
Clear
Paper Membership forms are available and can be completed in-person at the Shelter
