South Coast Humane Society

Support the southcoast humane society

Please Support
The Animals

SOUTH COAST HUMANE SOCIETY
P.O. BOX 7833 - BROOKINGS, OR 97415
(541) 412-0325
Thrift Store: 620 Hemlock - Brookings (541) 469-5694
YES! I support the adoption, spay/neuter, shelter and other animal loving
efforts of the South Coast Humane Society, and I want to help!

Name*
Address*
City*
State/Zip
Phone (day)*
Phone (eve)
E-mail*

VOLUNTEER!
(any amount of time is helpful!)

Adoption Committee	Newsletter Publication
Calling Committee	Publicity Committee
E-Bay Sales	Shelter Committee
Education Committee	Temporary Foster Care
Fundraising Committee	Thrift Store Volunteer
Legislation Committee	Web Site Maintenance
Membership Committee	Crafts For Critters
Other

DONATIONS
I want to show my support for the SCHS effort I feel most important with a special donation to:

Adoption Fund	$
Disaster Fund	$
General Fund	$
Shelter Fund	$
Spay/Neuter Fund	$
In Memory of (Pet or Loved One's Name)	$

If you make an "in memory of donation and enclose a short narrative, it will be applied to your fund choice and the narrative will be included in our newsletter.

Commemorative Bricks

	$50 Individual Engraved Brick
	$100 Corporate Engraved Brick
Include your desired engravings - limited to 36 characters (including spaces)
	$10 Individual Brick (not engraved)

Please begin/renew my membership as follows:

$5 Child Under 12
$25 Individual Member
$45 Family Member
$300 Lifetime Member
$75 Corporate Member
$500 Silver Guardian Angel
$1000 Gold Guardian Angel

Please begin/renew my membership as follows:
Your contributions are tax deductible. Tax ID #93-1091269