Name of person/business pledging:                 __________________________________________________

 

Telephone Number:                                            _________________________

 

Mailing Address:                                                  __________________________________________________

                                                                                Address                                                  State                       Zip

Email:                                                                    ___________________________

 

CHOOSE YOUR LEVEL OF SUPPORT:                                                                                        CHOOSE YOUR GIVING PLAN:

 

                Great Dane  ($5000 or more)                               Amount:  _______________                                Annual:  _____

               

                Golden Retriever ($2500 or more)                       Amount:  _______________                                Quart.:   _____

 

                Beagle ($1000 or more)                                         Amount:  _______________                                Mo.:        _____

 

                Cocker Spaniel ($500 or more)                            Amount:  _______________

 

                Yorkshire Terrier ($100 or more)                        Amount:  _______________

 

                Chihuahua ($75 or less)                                       Amount:  _______________

 

PLEASE MAKE CHECKS PAYABLE TO HAPPY TAILS ANIMAL SHELTER

P.O. BOX 1305 , EDNA, TX  77957                                                                                                                Thank You!