The Humane Society, A.L.L. of Madison County Gift Program

A donation can be made in memory of a beloved person or pet, or in honor of a special person or pet.  Your donation is a lasting, meaningful tribute and will help insure the humane treatment of animals in Madison County through community education, spay and neutering, and other community oriented programs.  Your gift is very much appreciated.

Print this page, complete the form below and mail it along with your gift donation to the address at the bottom.  Please print.

This Gift is in Memory of:

_________________________________________________________
name of special person or pet

This Gift is in Honor of:

_________________________________________________________
name of special person or pet

Please specify occasion:

__________________________________________________
example:  birthday, holiday, or other occasion


  Please send an acknowledgment of this gift to the following:

Name:

  ___________________________________________________

Address:

  ___________________________________________________

City:

  _________________________  State: _____________________  Zip: ______________________

Special
 Instructions:

  ________________________________________________________________________________

 ________________________________________________________________________________

 ________________________________________________________________________________
This gift in the amount of $__________________________ is from:
                                                                      donation amount

Name:

 ___________________________________________________

Address:

 ___________________________________________________

City:

 _________________________  State: _____________________  Zip: ______________________
Include the amount of the gift in the acknowledgment letter.
Do not include the amount of the gift in the acknowledgment letter.

Please mail the completed form and your tax deductible gift to the below address.  Please make checks or money
orders out to:  Humane Society A.L.L.

Humane Society A.L.L.
P.O. Box 2094
Richmond, Kentucky  40476-2094		   Questions?  (859) 626-5600