Donations for Last Hope

Please tell us how you would like to help:

[_]	$10.00	Annual Membership (Newsletter) includes 3 newsletters each year - complete form below
[_]	$_____	Donation to help pay for animal veterinarian intake exam, medicine and food for homeless and abandoned animals
[_]	$_____	Donation to help pay for spay and neuter
[_]	$_____	Donation for the Animal Critical Injuries Fund
[_]	$_____	Donation in memory of: __________________________________________
[_]		I would like to learn more about being a foster parent for Last Hope

Name:_____________________________________

Address:__________________________________

City/State/Zip___________________________________

Phone: (Home) _____________________________

(Work) ______________________________

Email address:__________________________________

Please print and fill out this form for your membership and subscription to our newsletter.
Mail the form along with your donation to:

Last Hope, Inc.
P.O. Box 114
Farmington, MN 55024

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