Sponsorship Information Your Privacy Previous Page

Dog Information  
Dogs Name:    Captain Dogs ID:    1183
 

Online Sponsor Form
We also have a mail in form you can print or download.
*  Indicates Optional Field
Personal Information
Name: Address:
City: State/Province:
Zip/Postal Code: Country:
Phone:* E-mail Address:
Credit Card Information  (if Payment Method is Credit Card)
Visa MasterCard DinersClub American Express
 
Card Number:   Exp. Date:    (mmyy)
Checking Account Information  (if Payment Method is Checking Account)  (USA only)
Bank Name
Account Number   (numerals only -- no dashes or spaces)
ABA Routing Code   Help
Monthly Sponsorship:
  $40 per month
(This will be a recurring charge to your credit card or checking account until canceled.)
  Check the box if you would like your name displayed as the sponsor of this dog.
(Your name will appear under the dog on the Sponsors page)

Sponsor By Mail To sponsor by mail click on Sponsor by Mail to print out a copy of this form or follow the instuction below to download a copy to your desktop.
Word Document Adobe Acrobat Reader (Windows) right click on Word or Acrobat icon, select Save target As..
 (Mac) click on Word or Acrobat icon.

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