The Washington County Humane Society, Inc.

Donation Form

Name ______________________________________________________________________________________

Address ____________________________________________________________________________________

City _____________________________________________  State ____________   Zip ____________________

Phone __________________________________    Email _____________________________________________
 

Donation Amount:    q $10      q $25      q $50      q $100      q $250      q Other $___________  

q Enclosed is my donation (Make check payable to The Washington County Humane Society.)

q Charge my donation to my:    q MasterCard    q Visa
 

Credit Card Number ____________________________________________________________________

Expiration Date ______________________       Security Code (on back of card) ___________________

Name on Card ________________________________________________________________________

Signature _____________________________________________________   Date _________________

q Please send me information about leaving a lasting legacy of love to the WCHS with Planned Giving.

q SAVE A STAMP! No thank you necessary. Your work is THANKS enough!

Please mail completed form and enclosures to:
The Washington County Humane Society
3650 State Road 60
Slinger, WI   53086
 

Phone: 262-677-4388 | Fax: 262-677-0388 | E-mail: admin@washingtoncountyhumane.org