Sponsor-A-Pet Form

Please print out a copy of this form and send to:

Georgia Heartland Humane Society

P. O. Box 72197

Newnan, GA   30271-2197

I wish to sponsor:   _____________________ (name of pet) ____________________(description of pet)

                              _____________________ (name of pet)____________________ (description of pet)

with my donation.  I would like my name to be included on the list of pet sponsors on your website.  Here is how I want my name to appear:

Your Name ______________________________________________________

My donation check of $__________ ($30 per pet) is enclosed and made payable to Georgia Heartland Humane Society.