Tails of the Tundra Siberian Husky RescuePO Box 612
Colmar, PA 18915
www.siberescue.com
(215) 412-0270

Donation Form:
Please print out this form, fill it out and mail it along with your donation to
TOTTSHR, Inc.
PO Box 612
Colmar, PA 18915
 
Your Information:
Name:   ________________________________________________
Address:   ________________________________________________
City, State, Zip:   ________________________________________________
Phone Number:   ________________________________________________
Email Address:   ________________________________________________
     
Gift Information: (if this is a gift for someone, please fill out this portion)
Indicate type of gift: (circle one)   Birthday    Sympathy    Christmas    Other____________
Check here if Anonymous:   ________________________________________________
Check here if you'd like to send a note:   ________________________________________________
Would you like us to tell the recipient of the gift amount? (circle one)   Yes     No
This Gift is From:   ________________________________________________
This Gift is To:   ________________________________________________
Address:   ________________________________________________
City, State, Zip:   ________________________________________________
Phone Number:   ________________________________________________
Email Address:   ________________________________________________
Special Note to be included:  

________________________________________________

________________________________________________

________________________________________________
How would you like us to notify the recipient of their gift? (circle one)   Email     Regular Mail
     
Donation Information:
Amount of Donation:   ________________________________________________

Please indicate here if this is a for a special fundraiser: (circle one)

   The Toby Fund    Foster Home Sponsor Program    General Donation    Other ____________
Please check here if a picture is enclosed that you wish to be a part of the gift:   ________________________________________________
Please check here if you wish the picture to be returned to you:   ________________________________________________