Donation Form

Please (1) complete this form, (2) print the page, and
(3) mail it with your cheque, bank draft or money order to:

Big Heart Rescue Society
PO Box 28030 Can West,
Victoria BC
V9B 6K8

Phone: 604-583-DOGS(3647)
eMail: spiritsmission@shaw.ca

Donation Amount:
Donation Paid By:		Enclosed cheque or money order PayPal credit card transaction
Name:
Address:
City:
Province/State:
Postal Code:
Home Phone:
Work Phone:
Cell Phone:
eMail Address:
Would you like the BHRS Newsletter delivered to you?		Yes No
Deliver Newsletter by:		eMail Regular Mail
We would like to hear from you. Please add comments!
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