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SICSA Sustaining Membership 2024

**Please Note:

This form is for 2024 Sustaining Members making a one-time payment. Please select the other form on the membership page if you wish to make monthly payments.

Membership Level *

The levels below are based on a one-time payment. All amenities will be granted upon the processing of said payment.

Gold Collar Society: $2,500+

Pack Leader: $1,000 - $2,499

Loyal Companion: $500 - $999

Animal Advocate: $250 - $499

Furry Friend: $72 - $249

Your Custom Membership Amount (Choose within the range of the membership level selected above). *

Donation Schedule (Monthly or One-Time Gift)

Name *

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email *

Verify Email *

Would you like to receive SICSA emails? *

Yes, please!

No, thank you.

Opt Out of Amenities

If you would like to opt out of your Membership amenities, please check the above box.

I would like to opt out.

Why cover 3% processing fees?

When you donate 3% to cover processing fees, SICSA is able to use 100% of your gift, rather than 97%. That 3% could cover vaccines for an abandon kitten, or a week of food for a dog in our care!

Add 3% to my total amount to help cover the payment processing fees