CONTRIBUTE A CANINE CLUB ENROLLMENT FORM

 

I would like to sponsor the adoption of ________ cats with a tax-deductible contribution of $100 per dog.

 

                   Check for $ ____________ payable to CGHS/SPCA is enclosed.

                   Charge $ ____________ to my credit card        MasterCard       Visa

 

Name on Credit Card __________________________________________________

 

Credit Card Number ___________________________ Expiration Date __________

 

Signature ____________________________________________________________

 

I wish to be listed with my sponsored dog(s) at the Shelter, on your web site and in your Newsletter as:

Name

Address

City                                                                              State                             Zip

Telephone                                                        Web Site

 

Please return this form to CGHS/SPCA, 125 Humane Society Road, Hudson, NY 12534 Thank you.