SPONSORSHIP FORM

Yes, I would love to sponsor a homeless Dog for ($10 per month) or ($100 per year)

NAME: ______________________________________

STREET: ____________________________________

CITY: _______________________________________

STATE/ ZIP: _________________________________

PHONE: ____________________________________

Please choose a Dog for me: 

Dane______ Saint______ Mix______ Sanctuary______

I would like to receive: (Please Check 1)

_____Certificate plus Greeting Card

______Certificate plus letter from my dog

For: ____Self ____memorial ____gift 

If it is to be a gift please list the occasion:________________________

Please make money orders payable to and mail to:

Harlequin Haven
11567 St. Rt. 774
Bethel, Ohio 45106

or you can even pay online by clicking the PayPal donate button button on the top of this page, in the comment section write "sponsor." If paying online we will still need all the above information emailed.

Thank you!! Remember all donations are tax deductible!!!

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