THE ANIMAL WELFARE & PROTECTION ASSOCIATION SRI LANKAMEMBERSHIP APPLICATION FORM Membership Form (#3) Title – Select –Mr.Mrs.Miss. First Name Last Name Address Address Line 1 Address Line 2 City Country Select CountrySri Lanka Phone Email Are you Employed? Yes Company Name Company Address Address Line 1 Address Line 2 City Country Select CountrySri Lanka Company Email Designation I’m interested in helping in Volunteering in the shelters Fund-raising Visiting re-homed animals Assisting at sterilizations Providing dana Please Specify Choose Membership Life membership (Rs.2,500) Student life membership (Rs.1,000) (Under 25 years of age) Proposed by an existing member Checkbox Field I support the aim of the society to promote kindness and to prevent or suppress cruelty to animals and work for the welfare of animals Submit Form
