| Mutts With A Mission, Inc. A 501 (c)(3) Non-Profit Organization "Serving Those Who Keep Us Free!" |
| Donation Form Fill-in and print this form to make general donations to support the programs of Mutts With A Mission or to sponsor a service dog/handler team. |
Name:_________________________________
Street Address:______________________________________________
City, State, Zip Code:___________________________________________
Day Phone:________________________
Evening Phone:_____________________
E-Mail Address:____________________________________
Enclosed is my tax deductible contribution: $________________
I want my donation to go towards:
___ General Donation
___ Dog Raiser Program
___ Service Dog/Handler Team
___ Starter Tote for Service Dog/Handler Team
___ Other
This gift is in memory of:_______________________________________
Send acknowledgement to:______________________________________
Address:__________________________________________________
__________________________________________________
This gift is in honor/ recognition of: (name/ event):_____________________________
Send acknowledgement to:______________________________________
Address:____________________________________________________
____________________________________________________
Thank you for your support. Please print and mail completed form, along with your tax
deductible contribution, to:
Mutts With A Mission, Inc.
158 Fox Farm Hill Road
North Berwick, ME 03906
Phone: 207-459-5026
Street Address:______________________________________________
City, State, Zip Code:___________________________________________
Day Phone:________________________
Evening Phone:_____________________
E-Mail Address:____________________________________
Enclosed is my tax deductible contribution: $________________
I want my donation to go towards:
___ General Donation
___ Dog Raiser Program
___ Service Dog/Handler Team
___ Starter Tote for Service Dog/Handler Team
___ Other
This gift is in memory of:_______________________________________
Send acknowledgement to:______________________________________
Address:__________________________________________________
__________________________________________________
This gift is in honor/ recognition of: (name/ event):_____________________________
Send acknowledgement to:______________________________________
Address:____________________________________________________
____________________________________________________
Thank you for your support. Please print and mail completed form, along with your tax
deductible contribution, to:
Mutts With A Mission, Inc.
158 Fox Farm Hill Road
North Berwick, ME 03906
Phone: 207-459-5026