Become a Member

Name (first and last) *

Email *

Phone Number (with area code) *

Address 1 *

Addresss 2

City *

State *

Zip Code *

Membership Level *1 Paw Level ($25 Senior / $35 - full membership benefits)2 Paw Level ($75 - full membership benefits)3 Paw Level ($100 - recognition in newsletter. Full membership benefits)4 Paw Level ($150 - business name/logo on webpage. Full membership benefits.)

If 4 Paw Business Member please provide business name for website and newsletter:

In honor of:

In memory of:

For the occasion of:

Membership Payment Options

• Pay at HAF Store (601 E. Pioneer Ave, Ste 109, Homer, AK)
• Pay by Mail (PO Box 2300, Homer, AK 99603)
• PayPal (use "Pay For Your Membership" button below)

Comments

Name

Submit