NAME
PHONE
ADDRESS
EMAIL
CITY
ZIP
FOR CAT LOVERS
STATE
ITEM
PRICE
QUANTITY
TOTAL
FOREVER HOME
CAT NIP AND TOYS
$50
$15
x
x
$
$
WEEKS STAY AT THE SHELTER
$150
x
$
WELLNESS OF A CAT
GOOD NIGHT’S SLEEP
$200
$25
x
x
$
$
SCRATCHING PAD
$5
x
$
ITEM
PRICE
QUANTITY
TOTAL
FOREVER HOME
KONG TOY
MAKE OVER
WEEKS STAY AT THE SHELTER
WELLNESS OF A DOG
GOOD NIGHT’S SLEEP
$100
$15
$50
$175
$200
$75
x
x
x
x
x
x
$
$
$
$
$
$
ITEM
PRICE
QUANTITY
TOTAL
BECOME A MEMBER
GOOD HEALTH/SOFT FOOD
HEALTH SCREENING
LUCKY PENNY FUND 1 TIME DONATION
LUCKY PENNY FUND FOR 6 MONTHS
SPONSOR A KENNEL
CAPITAL PROJECTS 2017
STERILIZATION SURGICAL KIT
QUALITY OF LIFE
SPAY AND NEUTER SURGERY (CAT)
$25
$40
$50
$100
$5,000
$1,000
$2,500
$500
$250
$35
x
x
x
x
x
x
x
x
x
x
$
$
$
$
$
$
$
$
$
$
SPAY AND NEUTER SURGERY (DOG)
SICK ANIMAL TREATMENT
$65
$200
x
x
$
$
AREA OF MOST CRITICAL NEED
$
FOR DOG LOVERS
FOR EVERYONE
CHECK (payable to Pensacola Humane Society)
TOTAL
Credit Card VISA MASTERCARD AMERICAN EXPRESS
Card Number
CVC
Signature
BILLING ADDRESS
Please send me
AMOUNT $
Exp.
/
honor cards directly, so I can forward them to friends and family.
GIFTS OF $10 OR MORE ARE ELIGIBLE FOR HONOR CARDS.