Circle of Friends Humane Society membership We are excited that you are considering membership with Circle of Friends Animal Shelter. By donating $5.00 or more in a calendar year and filling out this form, you are considered a member. Applicant Information Today's Date* Date Format: MM slash DD slash YYYY Name First Last Date of Birth Date Format: MM slash DD slash YYYY Phone Email Address Street Address City State / Province / Region ZIP / Postal Code Will This Be A Joint Membership With Your Spouse?* Not a Joint MembershipYes, Joint Membership Spouse Information, If Joint Membership Name First Last Date of Birth Date Format: MM slash DD slash YYYY Phone Donation Information Amount You Have Donated or Will Donate: To be eligible for membership, you must donate $25 or more in a calendar year. Signature* Spouse's Signature Name This field is for validation purposes and should be left unchanged.