DONATION FORM
MEMBERSHIP
{ } Life………………$250.00
{ } Patron……..….$100.00
{ } Friend……….….$ 25.00
{ } Individual…....$ 15.00
{ } Senior……..…..$ 10.00
Membership benefits include a subscription to a quarterly newsletter, updates on Shelter events, and a 10% discount on all shelter merchandise.
In addition or in lieu of becoming a Shelter member, I would like to contribute to the following:
SPONSORSHIP
Enclosed you will find my donation. I would like to be used toward:
{ } Sponsor a cat/dog cage ($10.00 a single month) _____months $______ Total
{ } Cost for initial vaccine on a single cat or dog - $15.00
{ } Cost to spay or neuter a single cat - $30.00
{ } Cost to spay or neuter a single dog - $50.00
{ } Please use my donation of $________ wherever the need is greatest
{ } Please use my donation of $________ in memoriam to ___________________.
(Name of person or pet)
Make checks payable to HSWA and mail completed form with your donation to:
Humane Society – Waterville Area
100 Webb Road
Waterville, Maine 04901
Thank you for your kindness and generosity.
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