Welcome to Metroplex•Animal•Coalition online

Individual Member Application


To join MAC as an Individual Member, please fill out this
FORM and we will add you to our elists.

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?