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DONATION

FORM

Please print, complete, and mail.

 

 

 

 

Date: ____________________________________________________

 

Name: ___________________________________________________

 

Address: __________________________________________________

 

City: _____________________________________State: ___________

 

Zip: __________________ Phone: ______________________________

 

 

___ $10 Friend                                       ___ $75 Sponsor a Neuter

 

___ $20 Trusted Friend                           ___ $100 Sponsor a Spay

 

___ $30 Loyal Friend                              ___ Other

 

___ $50 Devoted Friend

 

 

___Check                        ___Cash

 

___ I would like to volunteer

 

 

 

Please remit to: Tails of Love

PO Box 421, Gering, NE  69341