Individual Member Application

To join MAC as an Individual Member, please fill out this FORM and our Member Groups Coordinator will contact you.

Your name:

Email address:

Street Address:

City/State/Zip:

Phone:

Drivers License No:

What county do you live in? (MAC represents a 4-county area)

Dallas
Tarrant
Collin
Other

Are you affiliated with a rescue group, shelter or animal welfare advocacy group, or do you work independently?

Are you registered to work with Dallas Animal Services (DAS)?

Yes
No

If not, would you be willing to do so (MAC's mission is to reduce the killing of dogs and cats in municipal animal shelters and humane societies, and we advocate registration with DAS to facilitate this goal)?

Yes
No

Please tell us about yourself and any adoptable animals in your care:

Are you involved in any other area of animal welfare?