Printable Form - Fill it out online, then print it and send it together with your check.

Click : "File" - "Print Preview" : 1 page view - Shrink to Fit - Print Document

Papillon Club of America ~ Health & Genetics - Forms - Honor & Brags donation form

YES !!! I would like make an "Honors & Brags" donation !

( Minimum donation to have a photo displayed on the "Honors & Brags" pages : $ 25.00 )

   

We welcome and appreciate your donation 

to improve the health of our Papillons !

   

My "Honors & Brags" Donation is for :  $ ______

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My information : Please send a commerative card to  :
     

Name : 

Name : 

Address : 

Address : 

City : 

City : 

State : 

State : 

Zip : 

Zip : 

Country : 

Country : 

Phone : 

E-mail : 

  

( Text is limited into 3-4 short sentences to fit in the frame, as shown below )

 

Congratulations to:

Date ( if desired )

Donation by :  Your Name

 

  

  

Do you want a photo displayed on the

"Honors & Brags" Donation page ?

Yes

No

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Please send a check payable to : 

Papillon Club of America, Inc.   Indicate that it's for Genetic Research

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  Send this form together with your check to :
  

Andrea Meloon,

13794 W.Waddel Rd, Suite 203, #179, Surprise, AZ 85379 US

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E-mail your photo with your special requests for the photo, 

the text and your information to : Line Leret

  

We wish to thank you for your interest and faithful support 

of Papillon Health.

 

Genetic Research Committee

  

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Above Honors & Brags are to be published on the 

Papillon Club Genetic Web Page & quarterly in Pap Talk

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Papillon Club of America, Inc Health and Genetics