GREYHOUND ADOPTION LEAGUE OF TEXAS, INC.

                            MEMBERSHIP APPLICATION





Membership Levels:

____  $25   "Puppy" Membership includes:
            Subscription to Newsletter, Pet Alert Card and GALT Bumper Sticker

____  $50   "In Training" Membership includes:
            Puppy Membership PLUS GALT coffee mug

____ $100   "Racing" Membership includes:
            Puppy Membership PLUS T-shirt with logo; size ______

____ $250   "Adoption" Membership includes:
            Puppy Membership PLUS sweatshirt with logo; size ______

____ $500   "Retired" Membership includes:
            Puppy Membership PLUS large tote bag with logo

____ $1500  "Senior" (lifetime) Membership includes:
            Puppy Membership, Lifetime Subscription to newsletter,
            Custom-made dog bed for your greyhound or pet

____ Other  Please specify amount $__________

____ No gift  Thanks, but a gift is not necessary for my membership.

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Other Donations:

Memorial Donation: $________  In memory of _____________________________________

Land and Kennel Fund: I'd like to donate $________ to the Land and Kennel Fund.

My Employer matches Charitable Contributions. Contact me at ____________________

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Your information:

Name ___________________________________________________________________________

Address ________________________________________________________________________

City, State, Zip _______________________________________________________________

E-mail address _________________________________________________________________

Phone (please include) _________________________________________________________

                       The Greys Thank You for Your Support!

Mail completed form to:  Greyhound Adoption League of Texas, Inc.
                         P.O. Box 680
                         Addison, TX  75001-0680