Charles Smithgall Humane Society and Adoption Center
 
 
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Donations & Membership Form



Thank you for supporting the
Charles Smithgall Humane Society! 
 
 
   Please scroll down to fill-in form for 
                 Membership &/or Donations.    
 
NOTE:   To be sure your donation is marked properly, (due to occasional website glitches), please be sure to write what your donation goes toward in the comments section, even if you click a button to designate it. See below for special donor funds.  If you are joining as a member, just write "Renewal Membership" or "New Membership" in the comments section.  If your donation is a general one to go toward any cause, you can leave the comments section blank. Thank you for your help!! 
 
 
Rocky's Fund is a medical fund used solely to get treatment our Adoption Center animals in need.  It is not used for spay and neuter payments.
Spay & Neuter Fund is specifically for low income or severely-in-need people who wish to have their pets fixed and reduce overpopulation of animals.  Persons receiving this fund must show proof of need; distribution is determined by Board of Directors and/or Adoption Center Manager.
Other specific designations for donations are Guardian Angels or Membership.  If you wish to start a new restricted fund, such as Memorial Walk, please designate on form.
**PLEASE NOTE:  When you make a donation, you will be redirected to the PAYPAL site. If you are not a member of PAYPAL, just click on the "CONTINUE" button (left side of page) to donate via Credit/Debit Card without joining.  Your credit card information will NOT be retained on PAYPAL or this site.
 
Donation Form
Title:
First Name*
Last Name*
Organization
Address
Address 2
City
State
Country
Zip
Home Phone
Cell Phone
Fax
E-mail*
Amount of Donation*
(Format for "other" amount does not include dollar signs, commas, or decimal point.)
$25.00 Individual Yearly Membership
$50.00 Family Yearly Membership
$75.00 Cat Adoption Fee
$100.00 Dog Adoption Fee
$125.00 Business Yearly Membership
$500.00 Individual Lifetime Membership
$1000.00 Family Lifetime Membership
$2500.00 Business Lifetime Membership
Other 
I would like this donation to be used for
Donation One time donation
I would like to make this a recurring monthly donation
Privacy Provide my name and e-mail address to the charity
I prefer to make this contribution anonymously
Designation (optional) To designate your donation for a specific purpose, please enter a description of how you'd like your donation to be used.
Dedication (optional) To make a donation in memory of another person, please enter the person's name
To make a donation in honor of another person, please enter the person's name
Questions/Comments

Enter in the Code exactly as you see it before clicking the 'Submit' button.
*Indicates required field