Membership Application

Please enter my membership in the Lycoming County SPCA for the year __________,
to demonstrate my commitment to the aid of homeless & abused animals.

Membership Levels and Rates:

  Junior Member (age 16 & younger) $5.00
  Regular Member $35.00
  Cat Kennel Sponsor $75.00
  Dog Kennel Sponsor $150.00
  Benefactor $250.00*
  Guardian $500.00*

* This membership entitles you to a free memorial brick.

Please enclose check made out to:

Lycoming County SPCA

You will be contacted for your brick order.

Name:  __________________________________________________________

Address: _________________________________________________________

City: ____________________________________________________________

State: ________________________________________

Zip: __________________________________________

Home Phone: __________________________________________________

Please print out this application and mail it with your check to:

Lycoming County SPCA
2805 Reach Road
Williamsport, PA 17701

570-322-4646