CHECK DONATION FORM
Please fill out, print, then mail in this form.

YES! I would like to support Safe Haven Animal Sanctuary.
Please make your check payable to: Safe Haven Animal Sanctuary. Contributions are tax deductible under section 501(c)(3) of the IRS code. For more information, please call Safe Haven at (408) 420-SAFE (7233).

2010 Annual Membership Dues$25       2010 Student Membership Dues$15

Enclosed is an additional donation to help Safe Haven
$50       $100       $250       $500       $1,000       Other $
Yes, my company matches contributions. I have enclosed my completed gift form.
This gift is in memory/honor of
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Send to Safe Haven Animal Sanctuary
PO Box 9005
San Jose, CA 95157