Sponsor-A-Pet Online Form

P.O. Box 7261
Fairfax Station, VA 22039-7261
703-691-HART Fax: 703-691-1730
www.hart90.org

United Way #8363
CFC-Federal #75875
CVC-Virginia #8183

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Sponsor-A-Pet Form

Name of the pet, or pets, you'd like to sponsor:
Dog Cat

Your Name:
Address:
Phone:
Email:

I would like PayPal to set up automatic monthly payments of $ for months. (Minimum three months at $10 per month, per pet. Note: To set up automatic monthly payments, you will need to have a PayPal account.)
I would like to sponsor-a-pet with a one-time donation of $ .

Please do not display my name on the HART website.
You may display my name on the HART website.
Your name as you'd like it to appear on the website:

in memory of:

in honor of:

Would you like HART to notify someone of your donation?

Name:

Address:

Additional instructions/comments:

Print this page if you would like a copy for your records.
After you click the submit button, you will be directed to PayPal to complete your sponsorship.

Contact Information
Telephone 703.691.HART (703.691.4278) Postal address P. O. Box 7261 Fairfax Station, VA 22039-7261	FAX 703.691.1730 Electronic mail General Information: HART Office Website: Webmaster Unanswered Email

Contact Information