Please Print, fill out and mail.
Purrfect Pals Registration Form
Yes! I would love to give long-distance
love to a special cat who needs me.
I have chosen__________ as my Purrfect Pal cat.
( Please fill in the name
of the cat you would like to help.)
I will be sending: ( ) $20
( ) $15 ( )
$10
( ) Other $_____ per month for a year.
Please select one of the following payment options:
( ) I would like to make monthly donations by check
(please enclose first donation)
( ) I would like to pay all 12 months donations at
once (check enclosed)
( ) I would like to have my monthly donation charged
to the following credit card:
( ) VISA
( ) MASTERCARD
( ) AMERICAN EXPRESS
Credit card Number______________________ Expiration_______________
Signature for authorizaton___________________
Name________________________
Address______________________________
City_________________________________
State______________Zip__________
E-Mail__________________
A COPY OF THE OFFICIAL REGISTRATIOON & FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT INMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATIONS BY THE STATE. 1-800-435-7352.
REG# SC-12062 100% OF EACH CONTRIBUTION IS RETAINED BY PAWS
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Karen Gibson All rights reserved.