Title  
  Given name
:
  Family name
:
  Date of Birth
:
  Address :
  Postal Code :
  Telephone
:
  Fax :
  E-mail :
  Occupation
:
 

Other welfare organizations I belong to

:
   
 

I wish to apply for TSPCA membership at the Membership Grade denoted below, and have arranged payment of my Year 1 Enrolment and Membership Fee as follows:

by cheque made payable to Thai society for the prevention of cruelty to animal to be attached please to 'hard copy' applications
by direct bank credit to Thai society for the prevention of cruelty to animal at A/C Number
1. DBS THAIDANU BANK
Account No. 004-2-03030-4
Office Silom
2. Bangkok Bank
Account No. 101-5-995804
Office Silom

NOTE: In the case of payment by cheque for e-mail applications, please attach a separate note with your name and contact details, and date of submission of your membership application.
   
Membership Grade
Thailand based
International

Enrolment & Year 1 Membership

Annual Fee

Enrolment a Year 1 Membership

Annual Fee
 
Student Member THB -150 THB -150 $US -15 $US -10
Ordinary Member THB 350 THB -300 $US -20 $US -15
Educational Establishment Member THB -400 THB -400 $US- 35 $US -30
Corporate Member THB -2,000 THB -2,000 $US- 80 $US -75
-Patron/Life Member
THB 50,000
$US 2,000

NOTE: $US or 'Home Country' equivalent