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Membership Application - Paperless / Credit Card
HSCI relies solely on donations, fundraising, and memberships to fulfill our mission. We receive no federal, state, or local government funding. Thank you for your support! We use the convenience of PayPal for online contributions. Making your donation using PayPal is fast, free, and secure! PayPal accepts Visa, MasterCard, American Express, and Discover. If you would prefer not to use PayPal, please call our office at (309)451-1000 and pay with your credit card over the phone. |
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Click the link for the Membership level you would like to contribute. The PayPal webpage will display. |
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Review all payment details carefully. |
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Click the Pay button when finished and wait to receive a confirmation message. |
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Select the option to return to the HSCI website. |
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Complete the Membership Information form below. (Step Two - Information) |
| Step One - Payment |
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$1,000 Patron $500 Sponsor $250 Friend |
$100 Benefactor $75 Supporter $40 Family |
$25 Individual $ Other |
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| Step Two - Information |
| New Member |
| Name: | - Required |
| Street: | - Required |
| City: | - Required |
| State: | - Req. Zip Code: - Required |
| Phone: | |
| Email Address: | - Required |
| Please list any pets: |
| Would you like to be added to our email list and receive occasional emails regarding HSCI news and events? Email addresses are used only for our internal use and not shared outside of HSCI. |
Yes No Already on List |
| After completing payment and filling in the form, click the 'Submit Membership Form' button. |
| Your membership donation, tax deductible to the extent allowed by law, can help the Humane Society of Central Illinois in its efforts to prevent animal abuse and neglect through the programs we offer. Thank you for becoming a member! |
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