Greyhound Rescue of New York
P.O. Box 1527
Clifton Park, N.Y. 12065
Donor Name Address Information: In The Name of Address Information:
Name: Name:
Address: Address:
City: City:
State & Zip: State & Zip:
E-Mail: E-Mail:
E-Mail: E-Mail:
Phone #s w/area code: Phone #s w/area code:
Phone #s w/area code: Phone #s w/area code:
.
Type Of Donation:
(Please Circle One) Birthday, Anniversay, Relative, Death of Pet or other.
Please give Name of:
Anonymous: Yes No
In Donors Name: Yes No
In The Name Of A Person?
Give name and Specifics To The Right >		 .
In The Name Of A Pet?
Give name and Specifics To The Right >		 .
Donation For A Specific Use?
Explain To The Right >		 .
Other: (create your own):
Explain To The Right and Include Names If Required. For Additional Space Use Reverse Side Of This Page.>		 .
Kathy
The Greyhounds Thank You for Your Support.


( greyhound rescue new yo)
From your browser Print this form and fill in the blanks as needed (there are no required fields, but if we have questions then we would need contact information. Please at least provide the full donor contact information and mail to the below address with your donation check. This form and your canceled check is your receipt for tax purposes.
Should you need other types of receipts please contact Greyhound Rescue of New York at webmaster@greyhoundrescueofny.com.