SANCTUARY PET SPONSORSHIP FORM
Please fill out, print and sign, then fax or mail in this form.

I would like to sponsor (name of sanctuary pet).

Please select a sanctuary pet most in need of sponsorship.

Enclosed is my contribution of:

$20 charged to my credit card below each month for the next months of sponsorship.

$50 co-sponsorship for twelve months.

$200 sponsorship for twelve months.

$1,000 sponsorship for the life of the pet.

The web acknowledgement will be

"Sponsored by ."

Your company URL

Message (ex., in memory/honor of...)

Please send an acknowledgement to

Name Email

Address City/State/Zip

Enclosed is a check payable to Safe Haven Animal Sanctuary.

Please charge my Visa MC AMEX Disc/Novus in the amount of $

Card No. Exp. Date

Signature

Name Telephone

Billing Address Email

City/State/Zip

Print this Form

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).

Send to Safe Haven Animal Sanctuary
PO Box 9005
San Jose, CA 95157 Fax to 866-833-2451 (toll free)

	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).
	Send to	Safe Haven Animal Sanctuary PO Box 9005 San Jose, CA 95157		Fax to	866-833-2451 (toll free)