I would like to pledge $_____________a month for a total of $_________per year.
or
$________for the Spay and Neuter Fund
$________for medical care
$________for food for the pets of the elderly
$________for the building fund for the shelter
$________to be used as needed
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____I would be interested in becoming a foster parent for a dog or cat
____I would like to volunteer to help in any way I can
Name:__________________________________________________________
Summer Mailing Address:___________________________________________
Winter Mailing Address:____________________________________________
Local Telephone:________________
e-mail Address:________________________________________________
Please mail completed form and your check to HSBC at the above address.