Pet Care Services Association

* RED field names indicate required fields

MEMBERSHIP TYPE

Member Type

I'm applying for Active Membership – $225 per year
I'm applying for Auxiliary Membership – $225 per year
I'm applying for Associate Membership – $265 per year
I'm applying for Emeritus Membership – $112.50 per year

( for those who have been a member of ABKA/PCSA for at least
10 consecutive years and are fully retired )

I'm applying for ADDITIONAL Active Membership – $112.50 per year
I'm applying for ADDITIONAL Auxiliary Membership: – $112.50 per year
I'm applying for ADDITIONAL Associate Membership: – $132.50 per year

PERSONAL AND CONTACT INFORMATION

First Name

Last Name

Title

Facility Name

1st Contact (First Name)

Last Name

2nd Contact (First Name)

Last Name

Web Site Address

Email Address

Phone

Fax

FACILITY ADDRESS

Address

Address Line 2

City

County State/Province

Postal Code

Country

Open for Business?

Yes, we're currently open for business No

Mailing Address?

Click here if your MAILING address is different from your FACILITY address

MAILING ADDRESS

Address

Address Line 2

City

County State/Province

Postal Code

Country

SERVICES (check all that apply if you are open for business)

Dog Boarding Capacity

Cat Boarding Capacity

Dog Daycare Capacity

PREFERENCES

Include my mailing address when Pet Care Services Association associate members send information that may benefit my business

OTHER INFORMATION

Comments/Questions

How Did You
Hear About Pet Care Services Association

	Web Search		Referred by a Friend		Link from Web Site
	Magazine Ad		Other

Email Newsletter

Yes, subscribe me to the Pet Care Services Association email newsletter

PET CARE SERVICES ASSOCIATION TERMS AND CONDITIONS

Acceptance of Terms

I affirm I have read and understand the PCSA Code of Ethics as well as the Pet Owner's Bill of Rights.
By submitting this membership application, I accept and agree to abide by these standards. I understand if I do not agree to abide by these requirements my application will be denied and violating them while a member could result in revocation of my membership.

NOTE: To continue, please read and check the box next to "Acceptance of Terms" (above)

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