Yes, I want to help the animals with a tax deductible annual membership gift to the Nassau Humane Society:

______________$100.00 Bronze Paw Business Partner

______________$250.00 Silver Paw Business Partner

______________$500.00 Gold Paw Business Partner

Gold Paw Donors, please attach logo and provide web site address._____________________

 

______________Enclosed is my check made payable to the Nassau Humane Society

______________Charge my credit card:

Type of card:______________________________________________

Card number:______________________________________________

Expiration date:______________________________________________

Signature as it appears on the card:______________________________________________

Phone number:_____________________________

To email this form, select the form with your mouse, choose copy from your browser menu and paste into your email software. Then edit as needed. Email to adoptnhs@yahoo.com.