Support the Minnesota Valley Humane Society!
Minnesota Valley Humane Society
1313 Highway 13 E, Burnsville MN 55337
952-894-5000; Fax: 952-894-6669; www.MVHSpets.org
Please print and mail this form with your donation. Thank you!
If you have questions, please call MVHS at
952-894-5000 or e-mail SarahM@MVHSpets.org
Yes, I'm proud to support the Minnesota Valley Humane Society!
____My check is enclosed for ___ $35 ___ $50 ___ $100 ___ $250 ___ $500 ___Other $___________
Please make check payable to MINNESOTA VALLEY HUMANE SOCIETY
____I'm authorizing a single gift of $______ using my credit card.
____ I would like to help the homeless animals all year long. I authorize a monthly gift of _____ per month for 12 months. Please send a cancelled check for automatic withdrawal from a checking/savings account or complete the credit card information below. ($12 minimum per month)
Mastercard ___ Visa___ Discover____ Card Number:________________________________
Expiration date:_________ Signature:_____________________________________
Name: __________________________________________________
(As you would like to be recognized in MVHS publications)
____ I would like to remain anonymous.
Address: ___________________________________________________________________
We will not sell or distribute your name or address.
_____ I/we have included MVHS in my/our estate plan.
Please send me ____ Information on Planned Giving ____ Volunteer Information
This donation is in memory of:
_____________________________ name of deceased person or deceased pet (circle one)
This donation is in honor of: _____________________________ name of living person or living pet (circle one)
Name and address where we should send acknowledgement of your gift.
______________________________________________________________________________
______________________________________________________________________________
Due to space limitations, only memorials and tribute gifts of $35
or more will be listed in our newsletter. Photographs are encouraged and will be printed on a space available a basis.
We sincerely appreciate your continued support. Thank you!
Contributions are tax deductible as provided by law.