The Anguilla Animal Rescue Foundation Gift Form

                                  Other Amount Given: $____________

Tribute To:                                                            Please send acknowledgement to:

In Memory of:   ________________                                     Name: ____________________

In Honor of:  _________________                                      Address: __________________

This is an __ animal    ___ person                                           _________________________

For a special Event:  _________________                            City/State or Country: ____________ 

                                                                                              Zip: ________

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

The Valley

Anguilla, BWI

Country Code # 106

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

Thank You For Your Donation