Make a Tax Deductible Donation |
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| Contribute to the Northeast Animal Shelter by mail. Your gift to the Northeast Animal Shelter will help us save even more cats, dogs, kittens, and puppies and find them loving homes. Please print the form below and mail or fax it to: Northeast Animal Shelter Yes! I want to help the Northeast Animal Shelter save homeless animals. Enclosed please find my tax-deductible donation made payable to the Northeast Animal Shelter in the amount of:
If donating by credit card, please provide the following information:
Credit Card Number_____________________________________ Expiration Date_________________________________________ Name_________________________________________________ Address_______________________________________________ City/State/Zip/Country____________________________________ Phone_________________________________________________ Email__________________________________________________ Signature_______________________________________________
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Is this gift in memory of or in honor of someone? If so, please let us know who it is in tribute to and who an acknowledgement should be sent to: In Memory of_____________________________________________ OR In Honor of_____________________________________________ Acknowledgement should be sent to: Name__________________________________________________ Address________________________________________________ City/State/Zip/Country____________________________________ Phone__________________________________________________ Donation From: __________________________________________
WEB12F |
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