Donation Form

Name Name First Last
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Donation For:
Donation Type:
In Memory or In Honor Of
(Specify)
Membership/Sponsorship C/MO
(check all that apply)

Membership/Sponsorship C/MO
(check all that apply) $25 - Individual Yearly Membership $50 - Family Yearly Membership $100 - Golf Tournament Hole Sponsor $100 - Dog/Cat Guardian Angel $125 - Business Yearly Membership $400 - Golf Tournament Team Of 4 Players $500 - Individual Life Membership $500 - Dog/Cat Guardian Archangel $1000 - Family Life Membership $2500 - Business Lifetime Membership Enter Your Own Amount Below
Donation For Adoption
(Check or Money Order)

Donation For Adoption
(Check or Money Order) $100 - Dog/Puppy Adoption Fee $85 - Cat/Kitten Adoption Fee
Donation For In Memory or In Honor Of
(Paypal) $ Dollars . Cents
Donation For Adoption
(Paypal)

Donation For Adoption
(Paypal) $100 - Dog/Puppy Adoption Fee $85 - Cat/Kitten Adoption Fee
Other Donation Amount
(Paypal): $ Dollars . Cents
Shelter Pets Medical Fund
(Paypal): $ Dollars . Cents
Membership/Sponsorship - Paypal
(check all that apply)

Membership/Sponsorship - Paypal
(check all that apply) $25 - Individual Yearly Membership $50 - Family Yearly Membership $100 - Golf Tournament Hole Sponsor $100 - Dog/Cat Guardian Angel $125 - Business Yearly Membership $400 - Golf Tournament Team Of 4 Players $500 - Individual Life Membership $500 - Dog/Cat Guardian Archangel $1000 - Family Life Membership $2500 - Business Lifetime Membership Enter Your Own Amount Below
For Check or Money Order
Please tell us in the comment box how much your donation is and what it is for.
**PLEASE SEND TO: Charles Smithgall Humane Society P.O. Box 2090, Cleveland, GA 30528
For Paypal
**PLEASE NOTE: When you make an online donation, you will be redirected to the PAYPAL site. You do NOT have to join Paypal to donate! If you aren't a member, just click 'Continue' (button on left side of page) to donate via credit, debit card or your bank account without joining. Your payment information will NOT be retained on this site or Paypal.
Any Additional Comments:
$0

Total

CSHS Membership/Adoption/Donation Form

CSHS Membership/Adoption/Donation Form

For Check or Money Order
Please tell us in the comment box how much your donation is and what it is for.
**PLEASE SEND TO: Charles Smithgall Humane Society P.O. Box 2090, Cleveland, GA 30528

$`0`

Total

CSHS Membership/Adoption/Donation Form

CSHS Membership/Adoption/Donation Form

For Check or Money OrderPlease tell us in the comment box how much your donation is and what it is for.**PLEASE SEND TO: Charles Smithgall Humane Society P.O. Box 2090, Cleveland, GA 30528

$0

Total

For Check or Money Order
Please tell us in the comment box how much your donation is and what it is for.
**PLEASE SEND TO: Charles Smithgall Humane Society P.O. Box 2090, Cleveland, GA 30528

$`0`