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for the animals - Chemung County SPCA

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NONPROFIT<br />

ORGANIZATION<br />

U.S. POSTAGE<br />

P A I D<br />

ELMIRA, NY<br />

PERMIT # 91<br />

<strong>Chemung</strong> <strong>County</strong> Humane<br />

Society & <strong>SPCA</strong>, Inc.<br />

2435 State Route 352<br />

Elmira, NY 14903<br />

Open Six Days a Week<br />

Monday thru Saturday<br />

Call For Hours<br />

Phone: 607-732-1827<br />

Fax: 607-732-6351<br />

Website: www.chemungspca.org<br />

Email: develop@chemungspca.org<br />

RETURN SERVICE REQUESTED<br />

Yes I can help!<br />

Method of Payment (check one):<br />

Check VISA MasterCard<br />

Return this completed <strong>for</strong>m in <strong>the</strong> enclosed envelope<br />

or<br />

Donate on-line at www.chemungspca.org<br />

Please make checks payable to <strong>the</strong> <strong>Chemung</strong> <strong>County</strong> <strong>SPCA</strong>. Thank you!<br />

Account # ______________________________________ Exp. Date ____________<br />

Signature ____________________________________________________________<br />

Name _______________________________________________________________<br />

Address _____________________________________________________________<br />

City ______________________________ State _____________ Zip ___________<br />

Phone _______________________ E-mail _________________________________<br />

Donations to our non-profit agency may be tax-deductible <strong>for</strong> those who itemize.<br />

Make a donation to <strong>the</strong> CCHS/<strong>SPCA</strong> In Honor of, In Memory of, or as a General Donation..<br />

Please fill in completely: In Honor of In Memory of General Donation Amount $ __________<br />

This gift is in honor/memory of <strong>the</strong> following (put <strong>the</strong> pet’s name in quotes): Pet Person<br />

Name ______________________________________________________________________________________<br />

Relationship and Occasion _____________________________________________________________________<br />

Send acknowledgement to: _____________________________________________________________________<br />

Address/City/State/Zip ________________________________________________________________________<br />

E-mail Address ______________________________________________________________________________<br />

I prefer not to receive a thank you letter so my entire gift can go towards animal care.

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