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I WANT TO JOIN PROJECT JESSIE AS A MONTHLY (or SINGLE TIME) DONOR! Please provide the following information: | |||||
| Name | |||||
| First Name: | |||||
| Last Name: | |||||
| Email: | |||||
| Website: | |||||
Are you already a
member of Animal Alliance?  Yes No Not Sure | |||||
| Address | |||||
| Street: | Town/City: | ||||
| Postal Code: | Province: | ||||
| Home Phone: | Work Phone: | ||||
| Donation Info | |||||
| Comments: | |||||
| Please indicate the (one time only) amount you would like to donate: | |||||
| Monthly Amount: | $10 $15 $20 $25 $30Other:$
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| Beginning: | [..............................................] ,2007 | ||||
| Payment Type | |||||
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Visa
MC | |||||
| Card Holder: | |||||
| Credit Card #: | |||||
| Expiry: | |||||
| Special Offer | |||||
| Please send me my free Project Jessie puppies or Project Jessie kitten tote bag! (circle the style you prefer)I do not want a tote bag! | |||||
Thank you!!!
Project Jessie, 221 Broadview Ave., #101, Toronto, Ont. M4M 2G3