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Donation Form
Amount
*
$500
$250
$100
$50
$20
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Where would you like us to apply your gift?
*
select one
Wherever it is needed most
Sustainer Circle: $20 for 20 months [please check MONTHLY under Payment Schedule above]
Sponsor-A-Pet: to provide care for a specific pet in the Furkids program
Capital Campaign for new building construction
Annual or Event Sponsorship
Community Cats Program
Shiloh Gardens Payment
Social Media Fundraiser
Event Date
*
If paying for a Shiloh Gardens event, please let us know the event date.
What name is used on the Shiloh Gardens contract?
*
First Name
Last Name
t-shirt size
*
select one
S
M
L
XL
2XL
Please indicate the pet's name below.
*
Is your gift in honor or in memory of someone?
*
select one
Not at this time
In memory of Betty White
In honor of a living person
In memory of a deceased person
In honor of a living pet
In memory of a deceased pet
Tribute Name
Please list the person(s) or animal(s) in whose honor/memory you are making this donation.
Recipient Names
Whom should we notify about your donation? Please make sure to include the recipient's mailing address and/or email address below.
Recipient's Email Address
Recipient's Mailing Address
Dedication Message
Please include a message for the recipient you entered above.
Gift Note
Add 3% to my total amount to help cover the payment processing fees