SPONSORSHIP FORM

I'd like to sponsor _________ (number of dogs). 

Dogs name (s)______________________________________________________ (Optional)

_____Please use my sponsorship for the "Emergency Room" dog I have named above.

_____Please use my sponsorship to rescue a dog from death row at an animal control or other facility

_____I would like my donation to help pay for a dog's medical care

_____For $10.00 extra (per photo) you can receive a photo and short story about the dog that you 
          sponsored. It is a photo that is suitable for framing!

Total amount for sponsored dogs ___________($50.00 per dog)

Total amount for photos__________________($10.00 per photo)

Total amount donated to help out with medical work___________ (any amount)

Total amount enclosed is: _________________

____________________________________ ___________________________________________
(SPONSOR'S NAME)                                      (SPONSOR'S PHONE NUMBER)

___________________________________ ____________________________________________
(SPONSOR'S ADDRESS)                              (CITY, STATE, ZIP)

__________________________________________
(SPONSOR'S EMAIL ADDRESS)

Comments: _______________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Would you like your sponsorship to be dedicated in memory of a special pet or person? If so, please let us know their name (s) and why

_________________________________________________________________________________

_________________________________________________________________________________

Thank You So Much!
APB and all our wonderful dogs

All sponsorships and donations are tax deductible. APB is a 501(c)(3) non-profit organization.

HOW TO MAKE PAYMENT:
Please send check made payable to

APB (Animal Placement Bureau)
P.O. Box 80146
Lansing, MI 48908-0146