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Is this a new Sponsorship? |
Is this a renewal? |
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Name of the Pet you'd like to Sponsor: |
Cat? Dog? |
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If your selected pet gets adopted, please select another pet you'd like to sponsor: |
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Your Name: |
Phone: |
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Address: |
Email: |
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City: State: Zip Code: |
Prefered method of contact:
Phone Email |
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I would like to sponsor this pet for months for . 00 a month. ($20.00 per month, 3 months for $50, 6 months for $100, 12 months for $190) |
Total Amount: .00 |
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Please display my name on the FOHA website. |
Comments you would like to add:
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Name as you 'd like it to appear on the website: |
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This sponsorship is in memory of: |
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This sponsorship is in honor of: |
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This sponsorship is a gift. Please notify the person with a Certificate of Sponsorship. |
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Name of the person on the Certificate of Sponsorship: |
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Address of the person on the Certificate of Sponsorship: |
City: |
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State: Zip: |
Saturday, July 31, 2010
