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Please complete the entire donation form if you would like to submit a Memory Fence Tag donation. If you choose to, select any addiditonal donations below:

SCOOTER
FUND

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HEART
TO HEART

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MEMORY
FENCE

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Guardian
Angel

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Slate
Tile

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Memory Fence Tag

A memory fence tag is a beautiful, permanent way to honor or memorialize a beloved pet, relative or friend.

With a donation of $100, a pet I.D. tag can be engraved in memory of or in honor of a cherished pet, relative or friend and displayed on the fence outside of the shelter. You and your loved ones can visit the shelter to see your tag and the animals your donations have helped!

This tag is in
Name for tag:
Message on back (3 lines, max 15 characters each**):
Tag Shape (in large):
Tag Color:
** We reserve the right to alter the text in order to fit the tag.

YOUR INFORMATION

First Name:
Last Name:
Email Address:
Phone: ie. 802-555-1234

CREDIT CARD INFORMATION

First Name:
Last Name:
Credit Card Number:
Card CVV:
Credit Card Expiration:

BILLING ADDRESS

Street Address:
Apt / Suite #:
City:
Country/State:
Zip Code:

I want to save paper please don't send me a paper acknowledgement of donation in the mail

Cover the donation processing fee of $3: