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My donation is [ in honor of ] [ in memory of ] _______________
Name: ________________________________________________
Street: _________________________________ Apt: _________
City: ________________________ State: _____ Zip: _________
Email: ___________________________________________
Telephone: _______________________________________
(we will not call you unless we can't read your writing)
Please accept my donation by
[__] Check [__] MasterCard [__] Visa [__] Discover [__] Amex
Account Number: __________________________________
Expiration Date: ___________________________________
Signature: ________________________________________
[__] I would like to make a monthly donation using the above information.
Employer Matching Gift:
My employer ________________________________________ will match my donation. Please attach matching gift form including employer's name, address, contact person and telephone.
Print out this form and send it with your donation to:
- Perry’s Little Paws Rescue
1031 CR 144
Oakland, AR USA
Make check (US funds only) payable to Perry’s Little Paws Rescue.
Perry’s Little Orphans aka Little Paws Rescue is a publicly supported 501(c)3 nonprofit organization. All donations are tax deductible to the fullest extent of the law. All information is kept private. We do not sell or rent our mailing lists. Read our privacy policy.
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