Lynchburg Humane · Sponsor Care Form

Amount

*

$150 - Sponsors one pet's entire care

Donation Schedule

Pet's Name

Add a note or instructions about your donation

Contact Information

Name

First Name

Last Name

Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How would you like your thank you letter handled

*

Email my thank you letter

Mail my thank you letter

No thank you letter needed

Is this donation in honor or memory of someone?

In honor of:

First Name

Last Name

In memory of:

First Name

Last Name

Recipient's Name (if you would like a letter to be sent to someone notifying them of your honor/memory donation, please enter their contact info below):

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Sponsor a Pet's Care - Make a Difference

Contact Information