MEMBERSHIP 2009/2010/1/

SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS

P.O. Box 17338, 88873, Kota Kinabalu, Sabah
Website: www.spcakk.org

MEMBER/SUPPORTER APPLICATION FORM

Applicant's Particulars
Name:_______________________________________________________________________________
NRIC No:______________________________________________

Male

Female

Home Address (in full):_________________________________________________________________

____________________________________________________________________________________
Office Address: _______________________________________________________________________
_____________________________________________________________________________________
Telephone Contact: (H)_________________(O)_______________(H/P)__________________________
Email address: ________________________________________________________________________
Occupation:__________________________________________________________________________
Name of school (if applicable):___________________________________________________________
Number of family pets at home: Cats:

A.

Dogs

Others

I would like to support the SPCA KK by becoming a member;

One time processing fee

RM10.00

Ordinary Member RM25.00 per year

Lifetime Member RM250.00 (one time payment)
Junior Member (below 17 years of age) RM 10.00 per year
Corporate Member RM1,000.00 per year

___________________

Please turn over to next page

B.

I would like to support SPCAs Animal Welfare Work by donating:

Per month

One- time only

RM

RM

RM..

RM.

RM...

RM.
By Cash
By Cheque (payable to the Society for the
Prevention of Cruelty to Animals Kota
Kinabalu)

I certify that the above information is true and correct.

Signature:__________________________________________Date:___________________________

Acceptance of membership subject to the

Committees approval.
Approved/Not Approved:
Date of Approval:

Non Voting Members:

Junior Members, Corporate Members, Friends
of SPCA KK, Volunteers.
Voting Members: Life time Member, Ordinary
Member

Membership No:..
Receipt No:...........

Voting Member: with paid up subscription fees

for the financial year i.e. January - December