Membership Renewal

Please help us continue to 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
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.