First Name:

Last Name:

Street  Address:

City:

State:

Zip Code:

Telephone No:

Email Address:

Donations

_____ $25 Cherub

_____ $50 Angel

_____ $100 Guardian Angel

_____ $250 Supporting Angel

_____ $500 Sustaining Angel

_____ $1,000 Arch Angel

_____ $ _________ is the amount I wish to give.

Special Donation

______$__________ to help with medical expenses.

Please enclose a check or money order made payable to: The Rescue House and mail to: 

The Rescue House
P.O. Box 231336
Encinitas, CA 92023

If you have any questions, please email us at: funds4felines@rescuehouse.org

Please print two copies of this form, one to include with your order, one for your records. Contributions are tax deductible.