SICSA · SICSA Sustaining Membership 2024 (Monthly)

**Please Note:

This form is for Sustaining Members planning to make monthly payments toward their membership. If you would like to make your membership gift in one sum, please go to the membership page and select the other form.

Membership Level

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The Membership levels below are based on monthly payments expected over a 12 month period. Amenities will be granted once the minimum amount for a given level is reached.

Gold Collar Society: $209+ monthly

Pack Leader: $84 - $208 monthly

Loyal Companion: $42 - $83 monthly

Animal Advocate: $21 - $41 monthly

Furry Friend: $6 - $20 monthly

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

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$

Donation Schedule (Monthly or One-Time Gift)

Name

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First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

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Verify Email

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Would you like to receive SICSA emails?

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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 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!