BAYPATH HUMANE SOCIETY - DONATION FORM

Enclosed is my donation of:
_____ $25    _____ $50    _____ $100    ________ Other (please specify)   


Please use these funds for:
_____ General Expenses    _____ Extraordinary Medical   

Instructions
  • Please make your check payable to:  Baypath Humane Society

  • Print and complete this form

  • Send check and completed form to:
    Baypath Humane Society
    P.O. Box 23
    Hopkinton, MA 01748-0023
Please note: You may be able to double your contribution - check with your employer about their corporate matching funds progam.

Your Information:
Name  _________________________________________________________
Street  _________________________________________________________
City  _________________________________________________________
State/Zip  _____________________________   Zip ____________
E-mail  ________________________________________

Check here to receive our e-mail newsletter  ________  
   
Comments  _________________________________________________________
  _________________________________________________________
  _________________________________________________________

As always, please accept our heart-felt thanks for your generosity.