Donor Information:

Name:_______________________________________________________

Kennel Name:_________________________________________________

Address:_____________________________________________________

City____________________________________Country_______________

State/Province_______________________Zip/Postal Code____________

Phone Number____________________

Email Address:________________________________

Type of Donation:

O  One Time Donation            Amount_____________

O  Memorial Donation             Amount_____________

         Acknowledgement to read:_______________________________________________________

         Send Acknowledgment to:_______________________________________________________

Donation Payment:  All checks/money orders drawn on banks outside of the US must include $5.00 processing fee.

Make checks payable to ASCF and send to:  Marleta McFarlane

                                                                ASCF Secretary

                                                                4941 Equestrian Lane

                                                                Orange, CA  92869

. 

DONATION FORM