Please enable JavaScript in your browser to complete this form.Name (first and last) *Email *Phone Number (with area code) *Address 1 *Addresss 2City *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 OptionsPay 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)CommentsEmailSubmit