Membership Form

Choose Membership Type

Active Member Voting member that actively volunteers for the Coppell Humane Society. Must be at least 18 years old. Associate Member Non-voting membership with no participation requirements.

Membership Status

Membership Renewal New Membership

Membership Level

Individual Membership $25 Family Membership $40

Age

Under 18 18+

Applicant Details

Name Email Phone

Phone Type Address Line 1 Address Line 2 City State ZIP Code

Additional Family Members

Please tell us about any additional family members you'd like to include, as well as their phone number and email address, if applicable. Family members listed that are under 18 years old will be Associate Members. Additional family members must live in the same household, or be a dependent of the applicant.

Volunteering Interests

Optional: select any interests that apply.

Additional Experience

Do you have any experience in fundraising? Do you have any experience in people management? Do you have any experience in recruiting? Do you have any additional skills you would like to tell us about? Do you have any special contacts with people or business that would be willing to donate to, or provide products or services that would be useful to the Coppell Humane Society? (e.g printing services, pet food, cat litter, veterinary services)