Upper Valley Humane Society · 2022 Giving Tuesday form

Gift Information

Comments:

Donor Information:

This gift is from an organization/business

Yes

Organization/Business Name

Name

*

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email

*

Verify Email

*

Phone

Payment Information

We accept online donations by credit or debit card. After you complete this form, select Enter Payment Information button below to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.

Donation amount: *
$25
$50
$100
$250
$500
$1,000
$2,500
$5,000
$10,000
$25,000