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.    
 
CURRENT NEEDS:  Rocky's Fund is very low and desperately needed.  We do not have a vet on staff, and donations specifically made to this fund are used to help attend to some of the pets' most urgent medical needs.  It is only by donations like yours that we can help these animals, so please consider this fund!   
Won't you help us?  
 
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.
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!! 
**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