Give the Gift of Membership

Please use this form to purchase a membership for a fellow animal lover. Please click here for membership benefits.

For other types of giving, please click on the appropriate link below:

Please fill out the form below.
***PLEASE NOTE: All the information must be completed in this form in order to submit.***.

Donor Contact Information

Title: *
First Name: *
Last Name: *
Street Address: *
City: *
State: *
ZIP: * xxxxx--xx
Phone Number: * - - xxx-xxx-xxxx
Email Address: *

New Member Information

Giving Level: *
$35 True Friend (minimum)
$75 Caring Companion
$100 Partner in Paws
$250 Great Buddy
$500 Animal Advocate
$1000 Guardian Angel
Other $
Title:
First Name: *
Last Name: *
Street Address: *
City: *
State: *
ZIP: * xxxxx--xx
Phone Number: * - - xxx-xxx-xxxx
Email Address: *

Credit Card Information

Card Type: *
Card Number: *
Card Expiration: *   
Security Code: *
Name on Card: *
Amount: * $
Comment:
Please check here if you do not want your donation published.
Individuals that give at the Partner in Paws $100 level or more receive a special gift. Please check here if you want to donate that gift back to the shelter.

We send an email confirmation for donations. A membership card will be sent along with a card acknowledging your gift to the new member within 2-3 weeks after your donation. If you have questions regarding donations, please contact development@giveshelter.org or (608) 838-0413 ext. 128