Low Country Golden Retriever Rescue Resource, Inc.
Membership/Contribution Form
(Membership Dues $20.00- 1Yr./ $35.00- 2Yrs.)

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Memberships are non-voting, supporting memberships.  The membership year runs from January through December.  New memberships paid after August 1 are valid through December of the following year.

Name: ______________________________________________________________
Street Address: ____________________________________________________
City: _____________________________ State:________ Zip _____________
Daytime Phone:___________________ Evening Phone: ___________________
Email: _____________________________________________________________
Best Time to Contact: ________________________
Preferred Contact Method _____________________

Your areas of interest (Check all that are applicable)
____ Foster Care
____ Work on Newsletter
____ Adopt a Dog
____ Transportation of Dogs
____ Serve on Adoption Committee
____ Serve on Education Committee
____ Public Relations
____ Fundraising
____ Home Visits
____ Other (specify) ______________________________________________

Special skills you are willing to share with LCGRR
____ Dog Training
____ Dog Grooming
____ Transportation
____ Computer Skills
____ Other (specify) ______________________________________________

Which of the following would you be willing to provide for rescued dogs:
____ I can provide a regular foster home
____ I can provide short-term foster care
____ I can take special-needs dogs for retraining and rehabilitation
____ I can provide foster care in emergency situations (ie. where dog's life would be lost otherwise)
____ I might provide foster care depending on the circumstances
____ I would be unable to provide foster care

____ Enclosed are membership dues of $20 for 1 year
____ Enclosed are membership dues of $35 for 2 years
____ Enclosed is a contribution of $_______ to assist rescue efforts.

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Return completed form and membership donation to:
LCGRR,  P.O. Box 31256, Charleston SC 29417