National Airedale Rescue, Inc.
Donation Form


This gift is for Matilda's medical expenses.

I understand that donations in excess of Matilda's expenses will be added to the general rescue fund for the benefit of other Airedales in need.

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

I am making a gift of:

___ $5 ___ $10 ___ $15 ___ $20
___ $25 ___ $30 ___ $50 ___ $100
___ $ 200 ___ $500 ___ $1,000

or $ ___________ (Please indicate amount.)

Please fill in your name and address to ensure correct preparation of your receipt for tax purposes.

Name ___________________________________________
 
Address ___________________________________________
 
City _________________ State ____ Zip Code ________
 
Telephone Number ___________________________________________
 
Email Address ___________________________________________
 
Please check here  __________ if you wish to remain anonymous

Please make your check payable to National Airedale Rescue, Inc. and note "for Matilda" in the memo section.

Your check and form should be sent to:

Rusty LaFrance
ATTN: AIREDALE RESCUE
8524 Maggie Ave.
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.