O I have enclosed a check.
O Please debit my checking/savings account on the 5th day
of each month for: (please check one)
O $5.00 O $10.00 O $25.00 O other $________
Yes, I want to support Second Chance Animal Sanctuary!
O I have enclosed a check.
O
Please debit my checking/savings account
on the 5th day
of each month for: (please check one)
O $5.00
O $10.00
O $25.00 O other $________
Name _____________________________________
Address ___________________________________
City, ST, Zip ____________________________ Telephone __________________
I (we) hereby authorize Second Chance Animal Sanctuary, Inc. to initiate debit entries to my (our) Checking or Savings account indicated below. This authorization is to remain in full force and effect until Second Chance Animal Sanctuary, Inc. has received written notification from me (us) of termination, in such time and such manner as to afford Second Chance Animal Sanctuary, Inc. a reasonable opportunity to act on it.
Date______________________ Signature________________________________
Please attach a voided check (not
deposit slip) to this authorization and mail to:
Second Chance
Animal Sanctuary, Inc.
PO Box 1266
Norman, OK 73070
- - - - - - - - - - - - - Donation Card - - - - - - - - - - - - -