The Humane Society of Louisiana

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

PAWS CAUSE PLEDGE PROGRAM

YES! I WANT TO JOIN AS A *MONTHLY* DONOR!

Our Paws Cause members are Louisiana's staunchest animal defenders. As a member, you will receive monthly updates by mail or email. Please indicate your preference:

by email by mail

Please accept my monthly donation at the following level:

$15
$35
$50
$100
Other Amount

I authorize HSL to withdraw my monthly gift by credit card by filling out
the following form.

You can stop your membership at any time by emailing your request to
info@humanela.org or by calling 1-888-6 HUMANE.

FIRST NAME:

LAST NAME:

EMAIL ADDRESS:

HOME ADDRESS:

CITY:

STATE:

ZIP:

HOME PHONE:

CREDIT CARD NUMBER:

EXPIRATION DATE:

Month:

Year:

3 or 4 Digit Security Code

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

We can also take your credit card donation by
phone. Please reach us at 1-888-6-HUMANE.

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.