acs - pledge form part 1
DESCRIPTION
Animal Care Sanctuary Pledge Form Part 1TRANSCRIPT
For ACS use only:
Total Funds Collected: ____________
Verified by: _____________________
Signature: ______________________
Page 1 Subtotal: ________________
Page 2 Subtotal: ________________
Online Subtotal: ________________
Grand Total: ___________________
Name: _______________________________________________ Team Name (if applicable): ________________________________
Address: _____________________________________________ City, State, Zip: __________________________________________
Phone: _______________________________________________ Email: _________________________________________________
Name Address City, State, Zip Phone Email Pledge Amount
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* Checks should be made payable to the “Animal Care Sanctuary”