Arnell Memorial Humane Society 
Online Membership/Donation Form

We are a 501(c)3 non-profit organization
All memberships and donations are tax-deductible
.

Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
E-mail address:
*
  ( * = required field )

Regular Memberships: $20 Individual
  $30 Family
  $50 Business
  $100 Supporting
 
 

Miscellaneous Donations: $100 Annual Dog Cage Sponsorship 
  $100 Annual Cat Cage Sponsorship
  Other: $
  Special purpose $
  (Please fill in special designation for your donation in the above larger box)

General Acknowledgement Policy:

Acknowledgements are not automatically sent to everyone who becomes a member or donates. Your canceled check or credit card statement is sufficient for tax purposes. Donations over $200 require written documentation, and a tax deductible receipt will be sent in these instances. If you do wish to receive an acknowledgement, please check the box below.

"Yes, I do wish to receive an acknowledgement"


Honorarium/Memorial Donation Acknowledgement
Donation is: a


Name:

 

For what amount? $

Send Acknowledgement to:

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Name

Address

City, State, Zip code

Please disclose the amount
when you send the acknowledgement:

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Total amount donated: $

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Thank You for Your Support.

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