TYPE OF DONATION

 

Would you like to make a Memorial Gift or a Honorary Gift?

Would you prefer to mail in your donation?  Print and mail in this form. 
In Honor of or In memory of (circle one)____________________________________________
Enclosed is my donation of$___________
Please send a card to_______________________________________________________________

Address_____________________________________________________________________________

City__________________________________State________________________Zip_______________


( ) I hereby authorize the Humane League of Lancaster County to 

    charge my Visa/MC/Discover account for my donation.
Name_______________________________________________________
Adress_____________________________________________________
City_____________________State________________Zip__________


   ( ) Visa   ( ) MC   Account #_____________________Exp Date_________

   (  ) Discover (  ) American Express
   Your Signature____________________________________________.
To make every dollar count, receipts will not be sent unless requested.
Thank You for caring and sharing -
print out form
Send to:
Humane League of Lancaster County
2195 Lincoln Highway East
Lancaster, PA 17602