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Paypal Donation for Humane Society of West Alabama
If you have made a donation to the Humane Society through Paypal and would like an acknowledgement mailed to you and/or to have someone notified of this donation, please fill out below.
Your Name
*
First
Last
Email
*
Your address
I have made a donation through Paypal in the amount of
*
If this is a memorial or honorarium and you would like us to notify someone of your donation, please fill out below.
This donation is in memory of
(deceased person or pet)
OR
This donation is in honor of
(living person or pet)
Person to be notified of this memorial/honorarium
First
Last
Address of person to be notified
Other information or instructions
