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Please complete the entire donation form if you would like to submit a donation for a Slate Tile. If you choose to, select any addiditonal donations below:

SCOOTER
FUND

Scooter_and_mom-0001.jpg

HEART
TO HEART

MDP_HSCC_Paw_Nov0215-0001.jpg

MEMORY
FENCE

MDP_HSCC_Tags_Nov0215-3.jpg

Guardian
Angel

MDP_HSCC_AngelTags_Nov0215.jpg

Slate
Tile

MDP_HSCC_Wall_Slate_Nov0215.jpg

Slate Tile

Since the opening of the HSCC building in 2001, slate tiles have been a beloved way to memorialize or honor a cherished pet, relative or friend. For a donation of $1000 you can personalize a tile that will be permanently installed in the shelter's lobby.

Step 1: Choose a tile:

Step 2: Write in your message

Your message may have 15 letters, spaces and punctuation marks per line. Please use upper and lower case letters just as you would like them to appear on your tile. Each tile is 6”x 9”.

Step 3: Donor(s) 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: