 |
PCT for Pets J. Bradley Materick & Banner 1619 Fairfax Lane, Oakbrook Terrace, IL 60181 (802) 578-3050 jbmaterick@stanfordalumni.org |
|
PLEASE PRINT THIS PAGE, FILL OUT THE
REQUESTED INFORMATION, AND SEND IT WITH YOUR DONATION...OR SEND A
WRITTEN NOTE CONTAINING THE SAME INFORMATION. THANK YOU!
MAKE CHECK OR MONEY ORDER PAYABLE TO "PCT for Pets" NOTE: If you are sending a donation of $250 or more, you will need a WRITTEN ACKNOWLEDGEMENT OF CONTRIBUTION receipt from PCT for Pets in order to take this donation as a deduction on your 2004 federal income tax return. Click here for an ONLINE RECEIPT, or check "Please mail me a Donation Receipt" below. A receipt will be mailed to you before December 31, 2004. The
enclosed donation is being sent to PCT for Pets by:
Name:
__________________________________________ Address: __________________________________________ __________________________________________ __________________________________________ Amount of Donation: _________________________________ ** I would like this donation to be
sent to the **
** AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS ** (If you do not use this form, be sure to include this statement in a written note) Please mail me a Donation Receipt: YES _______ NO _______  Thank you very much for your support of shelters and shelter animals!  |