Membership Application
Mount Vernon Area D O G

Mount Vernon Area D O G
P O Box 15015
Alexandria, VA 22309


email
phone: 703-360-6305

 The Mount Vernon Area D O G need your help. We are trying to raise funds for a dog park to be located at Grist Mill Park. But we need members to help raise money and promote the dog park to the surrounding community. By becoming a member, you not only stay informed about the current events happening with the park, but also take us one step closer to making it a reality. Please fill out the form below to become a member. The cost of membership is $10. Any additional donations are welcome. Your membership fee will be used to help build the dog park. Please make checks payable to Mount Vernon Area D P G. Thank you again for joining. For more information call (703) 360-6305.
Please mail the form to: Mount Vernon Area D O G
P O Box 15015
Alexandria, VA 22309

Name: ___________________________________________
Street Address: ____________________________________
City: __________________State: ______ Zip____________
Telephone No.: _____________________________
E-mail Address: ____________________________

Dog Name & Breed
1)
2)
3)

Finance Use only:
Donation Amount $___________________
Check Number _______

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