Thera-Pets Membership Application
Membership Application
*Name
*Email
*Address
*Address
*Phone
*Age
Cell Ph.:
*Today's Date
*How did you hear about us?
Are you interested in volunteering? Please provide any skills, talents or areas
that you would like to help with.
Interests, Other Organizations you belong to
Questions, Comments, feedback, or concerns
Your information will never be shared or sold to anyone.
Thera-Pets'
Board of Directors
*****************************
President
Holly Besaw
Susan Lamoy
Treasurer
Christine Bush
Vice President
Secretary
Tony Trombley
David Charles Slater
MS; MSC.A.S.
(Counseling)
Sarah McCarter
D.V.M.
Janet Calkins
Jackie Douglass
James Douglass