Membership Application
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Email *
Today's date: *
Membership application type:
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First name:  *
Last name: *
Address: *
City: *
State: *
Zip code: *
Phone number: *
How many pets do you currently have registered? *
What type(s) of animal(s) do you have registered (dog, cat, etc.)?
What type of facility or facilities are you currently visiting or plan to visit? *
List the name(s) of the facility/facilities you are currently visiting and how often you visit: 
Pet Partners of the Red River Valley membership includes voting rights and the rights to hold an officer position.

As a member of Pet Partners of the Red River Valley (PPRRV):
I understand that I am required to attend meetings and visit facilities (or community events if I currently do not have a registered pet).

I understand that it is my responsibility to positively represent PPRRV and therapy pets.

I understand that PPRRV Leadership and other members may contact me via mail, email, phone, text, other means of communication, or on social media. I will inform PPRRV by email or mail if if choose to not be included in these communications.

Membership dues:
Annual membership dues are $10.00 and are due by May 31 of each year.  

Pay via PayPal.

Or make check payable to PPRRV and mail to: 
Pet Partners of the Red River Valley
Attn: Mary Brown
906 21st Ave S
Fargo, ND  58103
By typing my name below it is the same as my signature:
How will you be submitting payment?
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A copy of your responses will be emailed to the address you provided.
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