National Airedale Rescue, Inc.
Honorary/Memorial Donation Form

Please type or clearly print all entries:

This gift is
___ in honor of a living person or animal or
___ in memory of a deceased person or animal: __________________________________________ (name)

The above named is ___ a person __ an Airedale ___ other (specify) __________________________________________

Please notify the following person(s) of my gift:

Name ___________________________________________
 
Address ___________________________________________
 
City _________________ State ____ Zip Code ________
 
From ___________________________________________

I am making a gift of:

___ $25    ___ $30    ___ $50    ___ $100     ___ $ 200    ___ $500    

or $ ___________ (Please indicate amount.)

Please fill in your name and address.

Name ___________________________________________
 
Address ___________________________________________
 
City _________________ State ____ Zip Code ________
 
Telephone Number ___________________________________________
 
Email Address ___________________________________________

Please make your check payable to National Airedale Rescue, Inc.
This form should be sent to: National Airedale Rescue, Inc., ATTN: Rusty LaFrance, Treasurer, 8524 Maggie Avenue, Las Vegas, NV 89143

Thank you for your generosity.
National Airedale Rescue, Inc., is recognized as tax exempt under
501(c)(3) of the Internal Revenue Code.
Contributions are tax deductible to the extent provided by applicable law and regulations.

Information provided on our Internet site is not intended to be tax or legal advice. Please consult a qualified financial advisor before making a gift.