Membership Renewal

Name: Canine Assisted Therapy, Inc.
Address: 1040 NE 45th St, Oakland Park, FL, 33334, US
Telephone: (954) 990-5175
Price range: $$

Thank you for your service and for helping us provide canine companionship and unconditional love to those in need.

How would you like to renew?
Renew Membership or Add an Animal*
- Full Membership Renewal
- Additional Dog
Total
$0.00
Tell us about yourself
Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
- Yes, I'd like to receive email from Canine Assisted Therapy
- I have a different mailing address
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
Agree*
All of my provided information is correct.
A COPY OF THE OFFICIAL REGISTRATION CH31028 AND FINANCIAL INFORMATION FOR THE ORGANIZATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE OF FLORIDA – 1-800-HELP-FLA (435-7352) OR OUT-OF-STATE- (850) 488-2221. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE OF FLORIDA.
Email
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