Give Shelter Animals "H.O.P.E."
Donation Form
 
Please complete this form, print it and mail it to:
H.O.P.E.
Michigan Humane Society
30300 Telegraph Road, Suite 220
Bingham Farms, Michigan 48025

Choose your level of Monthly Support:

$500 $250 100 $50 $25 Other $____________
(Due to processing fees, we ask for a minimum monthly commitment of $10.)

Choose Your Method of Payment:

Bank Transfer: I authorize my bank to pay the Michigan Humane Society each month the amount entered above according to the terms of agreement below. I have enclosed a check for my first month's gift from the account I wish to use.

Credit Card: I authorize the Michigan Humane Society to charge my credit card each month for the amount entered above.

Credit Card Number:________________________________

Card Type Visa Master Card American Express Discover
Expiration Date:_____________

Complete the Following:

Mr., Mrs., Ms., Miss, Dr.

First Name/MI/Last Name: _________________________________

Street Address: __________________________________________

City/State/Zip: ___________________________________________

Email Address: __________________________________________

Phone: (______)__________________________________________

Signature:_______________________________________________

Thank you for supporting animal welfare by giving to the Michigan Humane Society!



2009 Holiday Fund DriveMHS Holiday CardsSit. Stay. Love.

 

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