Donation Form

 

Donated By:

         Name:         Phone:  

         Address: 

         City:           State:     Zip: 

         Email:      

If you wish for your donation to be processed in memory or honor of a person or pet please complete the section below.  This will allow us to send a card of Acknowledgement for your gift.

My Gift Is:                From My Heart    In Memory Of     In Honor Of

Name of Person or Pet to be remembered or honored:

Send Acknowledgement To:

         Name:     

         Address: 

         City:           State:     Zip: 

I would like more information on:

            Volunteering         Wish List Needs        Including Wilbarger Humane Society in my Will