The Anguilla Animal Rescue Foundation Donation Form

Check One	Level	Amount $US
___________	Supporter	$10 to $499
___________	Friend	$500 to $999
___________	Donor	$1000 to $2499
___________	Sponsor	$2500 to $4999
___________	Patron	$5000 and up

Please apply my donation to the following category:

Unrestricted Funds

Spay/Neuter

Endowment

Amount Given: $____________ Receipt Required: ___ Yes ___ No

Tribute To:                                                            Please Send Acknowledgement To:

In Memory of:   ________________                                 Name: ____________________

In Honor of:  _________________                                    Address: ________________________

This is an __ animal    ___ person                                   City/State or Country: _______________

For a special Event:  _________________                      Zip/Country Code: ________

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Last Name: ________________________ First Name: _________________________

Address: __________________________ PO Box: ____________________________

City: ______________________________ State (US Residents): __________________

Zip/Country Code: ______________ Country: ____________________________

Phone: _______________________ Email: ______________________________

Signature: ______________________

Please make check or money order payable to Anguilla Animal Rescue Foundation and mail this form and your payment to the following address: 

The Anguilla Animal Rescue Foundation

PO BOX RI 4228

Anguilla, BWI Country Code # 106

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Amount Paid: _______________ Cash: ____________                 Check #: _______________           Date: ____________

Thank You For Your Donation!