Membership Application Form





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Print Name:

Indicate Category of Membership

Form of Payment

(You may pay by cheque or postal order. Please complete the details below)

Payment Due:

Membership Subscription:

Additional Donation:

Total Payment:

Print Name:

I / We enclose my / our cheque / postal order for made payable to USPCA. I apply for membership and I will observe and be bound by the Society’s Articles of Association.

I declare that I intend any donations I make now and hereafter to Ulster Society Prevention of Cruelty to Animals (USPCA) to be GIFT AID DONATIONS.

I would like Ulster Society Prevention of Cruelty to Animals (USPCA) to reclaim the tax I have paid on these donations, until such time as I give notice in writing.



If you would like information on fundraising opportunities within the USPCA please tick here and we will send you details.I am not happy to be contacted by email or text. Please tick here.


Your support is necessary to ensure the USPCA continues to fulfill its core objectives of Investigating Cruelty and the Relief of Suffering.