Name(s)

Street Address

City State Zip

Work Phone (1)   Work Phone (2)  

Home Phone

Other Phone   

E-Mail Address 

Occupation (1)  

Employer 

Occupation (2)  

Employer 

Do you currently own a greyhound? Yes   No

Greyhound's Name  

Age Where adopted from

Greyhound's Name  

Age Where adopted from 

Greyhound's Name  

Age Where adopted from 

Please select levels of membership:

 As a member I would like to help the greyhounds by:

Other: Please list any special skills (professional or hobbies) that you have that you would be willing to share with GPA Houston.

I am including a tax deductible donation in the amount of $
Please apply this donation to:

My employer offers a Matching Gift Program.  Please contact me at

Method of Payment       Check    (Please submit the form then mail a copy along with your check to the GPA Office.)
                                                         Membership Renewal
                                                         GPA/Houston
                                                         P.O. Box 741176
                                                         Houston, TX  77274

                                      Credit Card 

You may pay with your credit card through our PayPal account.  After submitting this form, click on the button below to make your payment. Thank-you!

GPA Houston would like to acknowledge members who donate to our organization on our website,  Do we have permission to post your name on our website?  Yes   No