Please fill out the form below to donate to the Humane Society of Louisiana.
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HUMANE SOCIETY OF LOUISIANA
DONATION FORM

YES! I WANT TO JOIN THE PAWS CAUSE!
I am one of Louisiana's most dedicated animal defenders.

Please accept my monthly donation at the following level:



$10

$25
$50
$100
  Other Gift: $
   
Yes! I wish to make my monthly gift by credit card.
Yes! I wish to receive updates and pledge reminders
by email         by mail

Please fill out required fields below.

YES! I'D LIKE TO BECOME A MEMBER!
Please accept my dues at the following level:
YES! I'd like to make a DONATION! Please accept my gift of: $
If you'd like this contribution to be used for a specific program or purpose, please describe in the box below:
YES! I'd like to make a MEMORIAL GIFT.

Please accept my donation of: $
This gift is in honor of:
Please acknowledge this gift to:
Special message or instructions:
YES! I'd like to make a special TRIBUTE GIFT.

Please accept my donation of: $
This gift is in honor of:
Special message or instructions:
  FIRST NAME:
  LAST NAME:
  EMAIL ADDRESS:
  HOME ADDRESS:
  CITY:
  STATE:
  ZIP:
  HOME PHONE:
  CELL PHONE:
  WORK PHONE:
  CREDIT CARD NUMBER:
  EXPIRATION DATE: Month:

Year:
Checks can be made payable to:
Humane Society of Louisiana
and sent to
PO Box 740321, New Orleans, LA 70174
 

Your donation will be billed to your credit card as HUMANE SOCIETY OF LOUISIANA

Our agency is a 501(c)3 nonprofit organization.
All donations are tax deductible to the fullest extent allowed by law.
Our Federal ID number is 58-1795272.