Yes, I can help Loving Paws provide
special dogs to special kids!

Here is my tax-deductible donation in the amount of:

$5__ $10__ $20__ $25__ $30__ $40__ $50__ $75__

$100__ $150__ $200__ $250__ $500__ $1,000__ $_________

Does your employer match contributions?
Many will. Ask your personnel department.

I am paying by __Check __Money Order Number ________
(Do not send Cash)

Name ___________________________________________________________________

Mailing Address ___________________________________________________________

___________________________________________________________________

City ___________________________ State ________ Zip Code ___________

Country _______________________ Telephone ________________________ (Optional)

Please add me to your mailing list: __Yes __ No

I have the following items I would like to donate. (Please include your phone number so we may contact you.)

______________________________________________________

______________________________________________________

______________________________________________________

Print this form then fill in the the above information and send with your donation to:
Loving Paws Assistance Dogs
PO Box 12005
Santa Rosa, CA 95406