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.
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Questions, Comments, feedback, or concerns
Your information will never be shared or sold to anyone.

Thera-Pets'
Board of Directors

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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