The Association for Pet Loss and Bereavement

Join the APLB or Renew Your Membership

If your address is in North America, please use this form.

If your country is not listed here, use the International form.

United States · Canada · American Samoa · Anguilla · Antigua and Barbuda · Bahamas · Barbados · Bermuda · British Virgin Islands · Cayman Islands · Dominica · Dominican Republic · Grenada · Guam · Jamaica · Montserrat · Northern Mariana Islands · Puerto Rico · Saint Kitts and Nevis · Saint Lucia · Saint Vincent and the Grenadines · Trinidad and Tobago · Turks and Caicos Islands · United States Virgin Islands

(If want to submit a memorial for your pet, please use the Pet Memorial form.)

The basic annual membership in the APLB is $25; seniors (age 60 and up) are eligible for a $5 discount. Applicants who wish to add a permanent pet memorial may apply for the “Basic Membership and Memorial”.

Membership dues are not refundable.

Please list only one name. We do not accept dual memberships.

Membership Types

Regular Membership $25
Senior Membership (Age 60 and up) $20
Disabled Membership $15
Regular Membership and Memorial
(Includes membership for one year and permanent memorial)
$50
Senior Membership and Memorial
(Age 60 and up; includes membership for one year and permanent memorial)
$40
Disabled Membership and Memorial
(Includes membership for one year and permanent memorial)
$35

The APLB is designated by the US Internal Revenue Service as a 501(c)(3) nonprofit, tax-exempt organization. All your expenditures here are fully tax-deductible.


This is a  New Membership
Renewal (How many years have you been a member? )

Membership Type

Regular Membership $25
Senior Membership (Age 60 and up) $20
Disabled Basic Membership $15
Regular Membership and Memorial
(Includes membership for one year and permanent memorial)
$50
Senior Membership and Memorial
(Age 60 and up; includes membership for one year and permanent memorial)
$40
Disabled Membership and Memorial
(includes membership for one year and permanent memorial)
$35

Additional Donations

Patron Angel $75
Silver Angel $100
Gold Angel $200
Platinum Angel $300
Other
None

Contact Information

Your privacy is very important to us, and this information will be submitted over a secure server connection. No data you provide while joining or donating on this website will be used for any other purpose than fulfilling your order.

**Required fields

** First Name
** Last Name
Title
** Street Address
** City
State / Province
District (for addresses not in USA or Canada)
ZIP / Postal Code
Country
** Telephone ( ) (Cell or home numbers only, please. No business numbers.)
** E-mail (Personal address, please; not business.)

Credit Card Information

** Credit Card Visa
American Express
MasterCard
Discover
** Card Number
** Expiration Date

About Yourself

How did you first hear about us?

Do you have any pets now? What are their names and breeds?

Are you presently going through a bereavement process for a beloved pet, or is one terminally ill at this time? How may we help you with this?

Do you have any special skills or talents you would like to volunteer for the APLB?

What additional benefits would you like to see the APLB provide for its members?

What is your occupation?

Do you have any degrees?

If you have any comments, questions, or suggestions, please enter them here.

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