One-time or Monthly Gift Form

YOUR HSSPCA

One-time or Monthly Gift Form

Your donation will make a difference in the lives of abandoned, abused animals! Thank YOU!

YOUR Humane Society SPCA

Monthly gift

I prefer to send twelve (12) equal monthly payments for the amount checked:

$10.00
$25.00
$35.00
Other

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OR

One-time Gift

I prefer to make a one-time donation of:

If this gift is a Remembrance for a Person/Animal…

Name of person/animal being remembered:

Name of person to be notified:

Address of person to be notified:

Your Contact Information

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Expiration Date: *

Name on card: *

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Security Code: *

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