AAHA Helping Pets

Gift Registration Yes! I wish to help pets in need Step 1: Provide your information (* denotes required fields)
First & Last Name*
Business Name (If Applicable)
Address*
City*
State/Province*
Zip/PC*
Country
Email Address*		(e.g. username@server.com)
Phone*		(e.g.777-777-7777)
PLEASE NOTE: The Name and Address you enter must match the credit card billing information. Step 2: Select a donation amount
	$ 25
	$ 50
	$ 100
	$ 500
	$ 1000
	$ 2500 Entitles donor to special Benefactor designation
	Other amount
Step 3: Special Instructions Please enter any memorial or tribute information in the field below. Please specify pet or person and include contact information if you would like us to send a notification of your gift. Thank you for helping pets in need! AAHA Helping Pets Fund P. O. Box 150899 Denver, Colorado 80215-0899 Tel. 866/4HELPETS / Fax 720/963-4404 Email: info@aahahelpingpets.org