L.E.A.F.Zoo Membership Registration


Please complete the following to register your membership, gift membership(s), and/or membership upgrades to be purchased.

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Please select the level of membership chosen...

 

Membership levels:

$5,000_________Platinum Prestige
$1,000_________Gold Honored
$500__________Silver Supporting
$75___________Family
$15___________Individual
$10____________Student/Senior
$5____________Child

__________Gift Memberships




    Please enter your information here :

  1. Your name :

  2. Your email address :

  3. Your mailing address :

  4. Your city :

  5. Your state or province :

  6. Your zip/postal code :

  7. Your country :

    Enter country if unlisted :

  8. Your phone number :

Please check if the above address is for a Gift Membership only. If purchasing your own membership AND a gift membership, enter the gift information below.


Submit form

Please check if the above address is for a Membership Upgrade. If Upgrade is a gift, please check Gift Membership box as well, and enter information below.


Enter current membership level :



    Please enter the Gift recipient's information here. For more than one gift, please Submit each separately. :

  1. Name :

  2. Email address :

  3. Mailing address :

  4. City :

  5. State or province :

  6. Zip/postal code :

  7. Country :

    Enter country if unlisted :

  8. Phone number :


Thank you...
Please click to register your membership, gift membership, and/or upgrade with us. Click to start over.


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Coming Soon: Credit cards and bank drafts accepted for payment online. Multi-payment plans will be available as well.

For now, we will expect payment within 2 weeks. All amounts are in US funds. Outside the US, please add $5.00 for postage. If no payment is received within 2 weeks, we will send you a reminder via an email message.

Please write the level of membership chosen on the Memo line and make sure you fill out your information here so we can send your membership materials.

Thank you for joining us in our mission to help "For Animals' Sake."


Mail check or money order to:
L.E.A.F.

Post Office Box 383

Walkertown, NC 27051-0383

U.S.A.

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