I WANT TO JOIN CUFA

Name

Street Address

City, State, Zip

Email Address

Phone Number: cell- home-

My area of interest is:

I am available for (tabling, demonstrations, leafleting, research, fund raising, animal fostering or transport, etc.):

Times and days I am available:

How did you hear about CUFA?:
Bumper Sticker, Referral by: , Website Link at www. , Event Name & Date:
__________________________________________________

Annual Fee

Student ($7)___ Individual ($15) ____ Family ($20)

Please print this form and

send it along with a check made payable to CUFA:

PO Box 07176

Milwaukee, WI 53207