We also welcome contributions at the following address: Ashley's Angel Fund, Inc. PO Box 99457 Raleigh, NC 27624-9457 To help make care available to dogs with a life-threatening condition, I/we support Ashley's Angel Fund, Inc. with the enclosed tax deductible gift of $____________________. | | | | | | _____________ | Platinum ($500.00 or more) | | | | | _____________ | Gold ($250.00 - $499.00) | | | | | _____________ | Silver ($150.00 to $249.00) | | | | | _____________ | Bronze ($50.00 to $149.00) | | | | | | | | My/Our gift is in | ___memory ___honor of | | | | | | ____________________________________________________ | | | | | | | | | | My company, | ____________________________________________________, | | | | | will match this gift; matching forms are enclosed. | | | | | | | | | | Name: | ____________________________________________________ | | | | | Date: | ____________________________________________________ | | | | | Address: | ____________________________________________________ | | | | | Street City State Zip | ____________________________________________________ | | | | | | | | |
Ashley's Angel Fund, Inc. is a 501(c)3 organization, and donations are tax deductible to the extent of the law.
Thank you very much for your donation to Ashley's Angel Fund. Click here for a printer friendly version of this form.
Last updated 7/16/2003
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