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Membership Forms
You may copy and paste this form to your word program or you may print this form directly from the web site. To enter information to the form in your word program click on the line you want and select the insert key and start typing. You
may e-mail completed form to
Carol Saye at lcksaye@yahoo.com. Contact her directly if you wish to send the application to her by postal mail. Please mail payments
of $25 prorated through our fiscal year (April 1st to April 1st), or $12.50 for
steering committee members to the following address: PSPS P.O. Box 292 Issaquah, WA 98027 PLEASE,
TYPE ONLY! IF WE CAN’T READ YOUR FORM WE CAN’T UPDATE YOUR LISTING
PROPERLY! Business
Name: ______________________________ *
Mailing Address: ______________________________
____________________________ Owners
Name: _____________________________________ *For
security and privacy reasons only the steering committee will have access
to your address for purposes of mailing PSPS related materials. Telephone
Number: ______________________________ E-mail
address (Case Sensitive):
__________________________________
Web
site address (Case Sensitive):
_________________________________ Do
you want your e-mail or web address to appear on the PSPS web site?
E-mail:
Yes
No
Web site: Yes
No State of Washington Business License Number (UBI):_________________________ Year Business was Established ________________ How did you hear about PSPS (Website? Member's name? Other?) ________________ If we have omitted a territory or type of service, please contact our webmaster at lcksaye@yahoo.com so that an update can be made to our website, if necessary. Thank you. Type
of Special Pet Care Service (Please HIGHLIGHT response or use a different font color if you are e-mailing this to us. If you are using postal mail please circle your answer.) I
offer pet taxi service, ie to/from the vet, groomers, etc.
Yes
No I
will give animals simple medications (pills, shots, ointments)
Yes
No I
will give animals advanced medical care ( I.V.s, fluid changes, etc) Yes
No TERRITORIES SERVED Snohomish
County:
Note area served and type
of service (1)
Animal Communication Consultations (2) Aquarium Visits
(3) Bird Boarding (4) Bird Behavior Consultations (5) Bird Grooming
(6) Bird Visits (7) Cat Boarding (8) Cat Grooming (9) Cat Visits
(10) Daily Dog Walks (11) Dog Boarding (12) Dog Grooming (13) Dog Training (14) Dog Vacation Visits (15) Doggy Day Care (16) Live Ins (17) Livestock Visits (18) Pet Portraits (19) Rabbit Visits (20) Reptile Boarding (21) Reptile Visits (22) Small Mammal Boarding (23) Small Mammal Visits (24) Yard Scooping Bothell
Lake Stevens
Mountlake Terrace Brier
Lynnwood
Mukilteo Canyon Park
Maltby
Norma Beach Clearview
Marysville
Snohomish Edmonds
Mill Creek
Sultan Everett
Monroe
Woodway Granite Falls
King
County (West, South, Southeast):
Note area
served and type of service (1)
Animal Communication Consultations (2) Aquarium Visits
(3) Bird Boarding (4) Bird Behavior Consultations (5) Bird Grooming
(6) Bird Visits (7) Cat Boarding (8) Cat Grooming (9) Cat Visits
(10) Daily Dog Walks (11) Dog Boarding (12) Dog Grooming (13) Dog Training (14) Dog Vacation Visits (15) Doggy Day Care (16) Live Ins (17) Livestock Visits (18) Pet Portraits (19) Rabbit Visits (20) Reptile Boarding (21) Reptile Visits (22) Small Mammal Boarding (23) Small Mammal Visits (24) Yard Scooping Alki
Kenmore
Ravenna Arbor
Heights
Lake City
Richmond Beach Ballard
Lake Forest Park
Richmond Highlands Beacon
Hill
Laurelhurst Seahurst Bitter
Lake
Loyal Heights
Seattle (downtown) Blue
Ridge
Madison Park
Seattle
(south) Bryant Capitol
Hill Madrona Park
Seward Park Crown
Hill
Magnolia Beach
Shoreline Fauntleroy Magnolia Bluff
Shorewood First
Hill
Mercer Island University District Fremont
Montlake
View Ridge Green
Lake
Mount Baker
Wallingford Greenwood
Normandy Park Wedgewood Highland
Northgate
West Seattle Interbay
North Beach
White Center
Queen Anne Hill
Windemere King
County (Eastside):
Note
areas served and type of
service (1)
Animal Communication Consultations (2) Aquarium Visits
(3) Bird Boarding (4) Bird Behavior Consultations (5) Bird Grooming
(6) Bird Visits (7) Cat Boarding (8) Cat Grooming (9) Cat Visits
(10) Daily Dog Walks (11) Dog Boarding (12) Dog Grooming (13) Dog Training (14) Dog Vacation Visits (15) Doggy Day Care (16) Live Ins (17) Livestock Visits (18) Pet Portraits (19) Rabbit Visits (20) Reptile Boarding (21) Reptile Visits (22) Small Mammal Boarding (23) Small Mammal Visits (24) Yard Scooping Adelaide
Inglewood
Pine Lake Arrowhead
Issaquah
Preston
Beaux
Arts Issaquah Plateau
Redmond
Bellevue
Juanita
Redmond Plateau
Bothell
Kennydale
Renton
Carnation
Kingsgate
Rose Hill
Clyde
Hill
Kirkland Rosemont
Beach
Coal
Creek
Klahanie
Sammamish Coalfiel
Lake Hills
Sammamish Plateau Crossroads
Lake Sammamish Sahalee Duvall
Lakemont
Skyway Eastgate
Maplewood
Snoqualmie
Evergreen
Point
Medina
Somerset
Factoria
Monohan
Vasa
Park Fairwood
Moss Bay
Waverly
Fall
City
Newcastle Wilburton Finn
Hill
Newport Hills
Woodinville
Hunts
Point
Newport Shores
Yarrow
Point Inglemoor
North Bend Auburn
Enumclaw
Rainier Beach Black Diamond
Federal
Way
Rainier Valley Burien
Kent
Seatac
Des Moines
Maple Valley
Tukwila
Island
County & Other Areas:
Note area served and type
of service (1) Animal Communication Consultations (2) Aquarium Visits
(3) Bird Boarding (4) Bird Behavior Consultations (5) Bird Grooming
(6) Bird Visits (7) Cat Boarding (8) Cat Grooming (9) Cat Visits
(10) Daily Dog Walks (11) Dog Boarding (12) Dog Grooming (13) Dog Training (14) Dog Vacation Visits (15) Doggy Day Care (16) Live Ins (17) Livestock Visits (18) Pet Portraits (19) Rabbit Visits (20) Reptile Boarding (21) Reptile Visits (22) Small Mammal Boarding (23) Small Mammal Visits (24) Yard Scooping Bellingham Pierce County Island County
Lacey
Camano Island
Olympia Coupeville Oak Harbor San Juan Island Whidby Island
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