PEARL RIVER COUNTY SPCA CAPITAL CAMPAIGN CONTRIBUTION FORM

Name:  _______________________________________________

 

Company:  ____________________________________________

 

 Address:  ____________________________________________

 

  _____________________________________________________

 

City:  _________________________________________________

 

State:  _____________________     Zip:  ____________________

 

Phone:________________________________________________

 

Fax:  _________________________________________________

                                

E-mail: _______________________________________________

 

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THE DREAM

 

I lay down hungry, bruised and sore

My spirit is broken, just like before

Can’t they feel my pain and fright?

I want to play and romp, not fight

I whimper softly, though in vain;

Left to starve on a four-foot chain.

Tied outside for seven days,

No food, no water—eyes that glaze.

I rest my eyes, closing them tight,

Trying to forget my plight.

 

But I open them now, and there’s no chain!

You’ve given me shelter, out of the rain.

“This isn’t a dream!”, I think with a sigh,

Because a rescuer happened by.

My heart beats “I love you!”

Can you hear it?

You’ve mended my heart

And restored my spirit.

(Author Unknown)

 

 ____ Yes,  I want part of my $100 gift to buy a Memorial Brick (60 characters total, 3 lines)

 ____ Yes,  I want part of my $250 or more gift to buy a larger Memorial Tile

   To read: __________________________________________________________________

____Yes, I’d like a Campaign T-shirt for my $100 or more gift ( S-M-L-XL)   

____  Please use my entire gift to help the animals

 ____ I wish to donate  $________    instead of one of the amounts below

 

_____ Curious Cat

  $     250

___  YES--I want to become a Member of the PRC SPCA

          $  10    ___ Individual Member (less than 3 pennies per day!)

          $    7    ___ Senior Member (60 years or older)

          $    5    ___ Student Member (under 18)

           $100   ___  Patron (you have our undying gratitude)

___  YES--Please add me to your mailing list

 

Please mail this form and  amount of $_____________ to:

 

The Pearl River SPCA New Shelter Campaign

P. O.  Box 191,  Picayune MS   39466

_____ Precious Paws $     500

_____ Purr-fect Partner

  $  1,000

_____ Arff-ly Good Friend

$   2,500

_____True Companion $  5,000