For your convenience, the following pre-made form was placed on this web site.  Print this form, fill it out, and then send it in along with your donation to the address below.

--------------------------------------------cut here----------------------------------------- I support your work and would like to become a member of the Animal Welfare Institute. o $ 1000 Benefactor o $ 500 Patron  o $ 100 Friend  o $ 50 Supporter  o $ 25 Regular  o $ 5 Student or Senior Citizen  Enclosed is my tax-deductible contribution of $___________ to help you continue your work for animals.  Name______________________________________________  Address____________________________________________  City____________________ State________ Zip___________  E-mail address______________________________________  Institution (if pertinent)______________________________  Animal Welfare Institute P.O. Box 3650  Washington, D.C. 20027  Tel:  (703) 836-4300 Fax: (703) 836-0400 -----------------------------------------cut here--------------------------------------------