Please print and mail this form to:

Snowflake Animal Rescue
P.O. Box 99672
Raleigh, N.C. 27624-9672
(919) 990 2478

I am enclosing :

$ as

1) a general donation

2) in honor of the pet named

3) in memory of the pet named

4) in honor of the person named

5) a special purpose donation for



I would like an acknowledgment sent of my gift.

The acknowledgment should be sent to:
Myself

Name
Street address
City State ZipCode
person or owner of pet referenced above:

Name
Street address
City State ZipCode

Other information :