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Please write exactly how you want your name to appear on the card: |
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Please write the recipient's name and address that should be printed on the card: |
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| Please check an amount for your "Gift of Life": | ||||
| $15 | $20 | $25 | $30 | $35 |
| Please mark one: | ||||
| Mail the card directly to the gift recipient. | ||||
| Mail to me so that I can give it to the gift recipient. | ||||
Mail This Form To:
Sandy Warner, Secretary
Anderson Humane Society
P.O. Box 448
Lawrenceburg, KY 40342