I would like this donation to go to: ____ the general guardian angel fund _____ a specific animal ______________(please name).

Your Name:______________________________

Mailing Address:_____________________________________________________Zip: ________________

Phone: _______________________ E-mail: _______________________________

Credit Card Number: _____________________________________Exp. Date: __________

Signature: _________________________________

Please print, complete and mail this form to: Placer SPCA Guardian Angel Fund, 150 Corporation Yard Rd., Roseville, CA 95678

Please note, we cannot guarantee a specific animal's placement in a home. In addition, if the animal's adoptability status changes after your donation, the contribution would go into the general guardian angel fund. Donations received for a specific animals care above the amount requested for that animals care will go into the general guardian angle fund.

All donations are tax-deductible to the extent of the law.

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