FLAG Donation Information

Please provide the following contact information, print this page and mail it with your tax deductible donation to the address at the bottom of this page.  Thank you!!!

Name
Address
City, State, Zip
Home Phone
FAX
E-mail
Please direct my donation as indicated below:
Gift in Loving Memory of:
Gift in Honor of:
Birthday Gift for:
Anniversary Gift for:
Holiday/Special Occasion Gift for:
Sponsor a Pound Pet at $30 each:
General Donation - Use as needed
Other:
Please acknowledge my gift/donation to:
Name
Address
City
State, Zip
All Donations are Tax Deductible. Your cancelled check is your receipt. Thank you!
I (we) would like to volunteer in the following areas:
		Telephoning: Follow-up care
		Telephoning: Adoption Screening
		Kennel Care & Feeding: Day Shift
		Kennel Care & Feeding: Evening Shift
		Safehouse  Dogs or Cats
		Fundraising
		Work at Adoption Stand
		Work on One Project at a Time
		Work at Special Events such as Yard Sale
		My Specialty or Preference is:
Print this page and mail it with your tax deductible donation made out to FLAG to: FLAG P.O. Box 115 Manakin-Sabot, VA 23103 Thank you! Return to FLAG Home Page