Memorial Donation If you would like to make a donation in honor of a beloved pet who passed and would like a card sent to the home of the pet, please include the following information. All fields are required. Donation From: (how would you like to be referred to in the letter) Your Phone Number: Your Email: Donation Method: Check CC/PayPal Envelope to Read: (owners' names; including titles) Pet Owners' Address: Letter to Read: (Dear Mr. and Mrs. or Dear Jones Family, etc.) Pet's Name: Pet Type: Cat Dog	Rider packet   Sponsor packet   Donation packet   Merchandise order form
Kate Koogler Canine Cancer Fund • 6053 White Flint Drive • Frederick, MD 21702 • 301-524-4411 • Email us! A Non-Profit 501(c)(3) Organization