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Make A Contribution Toward Animal Welfare

Contributions by mail should be sent to the following address:

American Animal Welfare Society
PMB 505-B
2020 Pennsylvania Ave., NW
Washington, DC 20006-1846

For inquiries about making a contribution online, e-mail us at info@unitedregistry.com.

Section A: Info on Contributor

Title:
First Name:
Middle Initial:
Last Name:
Company Name:
Home Phone:
Work Phone:
E-mail Address:

Section B: Credit Card Payment Info

Donation:	(In US Dollars)

Card Type:
Card Number:
Expiration Date:
Security Code (What is this?):
Name on Card:
Billing Address:

City:
State:
Zip:

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Make A Contribution Toward Animal Welfare

Title:

First Name:

Middle Initial:

Last Name:

Company Name:

Home Phone:

Work Phone:

E-mail Address:

Donation:

Card Type:

Card Number:

Expiration Date:

Security Code (What is this?):

Name on Card:

Billing Address:

City:

State:

Zip: