Membership Form

		~ Membership Form ~


Name:	____________________________________________________

Address:	____________________________________________________

City:	____________________________________________________

Province:	____________________ Postal Code: _______________

Phone:	Home:	_____________________________

	Work:	_____________________________

Fax:	____________________________________________________

Email:	____________________________________________________


Volunteer Activities: Please indicate which activities are of interest to you Fostering: _____ Fundraising: _____ Transportation: _____ Telephone Work: _____ Craft Making: _____ Special Events: _____ Please return this form - along with your cheque to... B.A.R.K. c/o Judy Roy 2539 Russland Road Vars, ON K0A 3H0

~ Please make your cheques payable to B.A.R.K. ~