Be a Special Rescue Angel
for West Kentucky Rescue and
our Dogs with Special Needs


NOTE: Do not use the enter key while filling out this form as it will cause the form to be submitted.  If the form submits before you are ready, simply use your  browser's back button (upper left hand corner of the screen) to return to the form.

Thank you for caring enough to help those who need it most.
Many of the dogs in our care are sanctuary dogs and/or have continuing special needs.
Your donations help us provide them with their needed care.

Please provide the following contact information:

Today's Date:
Your Full Name:
Street Address:
City, State/Province:
Zip/Postal Code:
Home Phone:
Email Address:
Organization:
Web Site Address (url):

Please provide the following information about your Special Angel Donation:

    Please enter the name of the dog you would like to sponsor or if you are making a general donation for the dogs in our care:
       

Please tell us about the donation you would like to make:

    I would like to make a Special Angel one-time donation at this time:
        One time donation of:

                        and/or

    I would like to be a regular Special Angel:

        If you would like to be a regular monthly donor, please tell us the amount you would like to send each month.
        Keep in mind that at any time you may stop regular donations.
            Regular monthly donations of:

    Will you be making your donation by PayPal or mailing a check?

Comments:

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Copyright © 2001 - 2006 West Kentucky Rescue.
 All rights reserved.
 Revised: March 18, 2006