Please enter the pet(s) you wish to sponsor.
Please indicate if this is for a dog and/or cat.
Name of the pet, or pets, you'd like to sponsor:
        Dog Cat

Your Full Name:	Please enter your full name
Postal Address:
Telephone:	Please enter a 10 digit telephone number (999 999 9999).
Email Address:	Please enter your email address. Please enter a valid email address.

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	Please select an automatic-monthly or one-time payment above.
	Please enter a numeric payment amount. No dollar signs or other special characters. Please enter the number of months. I would like PayPal to set up automatic monthly payments of $  for  months. (Minimum three months at $10 per month, per pet. Note: To set up automatic monthly payments, you will need to have a PayPal account.)
	Please enter a numeric payment amount. No dollar signs or other special characters. I would like to sponsor a pet with a one-time donation (minimum $30) of $

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	Please select whether you want your name displayed on the HART web site.
	Please do not display my name on the HART website.
	You may display my name on the HART website. Your name as you would like it to appear on the web site:

Please enter the In Memory name.
in memory of 
Please enter the honoree name.
in honor of 

Would you like HART to notify someone of your donation?

Name:
Email: or	Please enter a valid email address. (preferred, saves postage)
Street Address:

Additional instructions/comments: