Pennies!!
Pennies!!
Pennies!!

Help us collect
 pennies
to benefit
Love A Golden Rescue.
We have reached 200,000 and are aiming for 300,000

Recurring Donation Plan Form

Please Print the from below and mail to Love a Golden Rescue

Name __________________________________________

Address ________________________________________

City/State/Zip ____________________________________

Phone: _________________________________________

E-Mail __________________________________________

RECURRING amount to be donated EACH MONTH:

__________________________________________

By signing below I authorize use of my credit card for donations to Love A Golden Rescue (LAGR)  MONTHLY in the amount indicated above.   I understand that this authorization will remain in effect until I notify LAGR in writing of any change.

Credit Card Type (Visa/MasterCard) _____________________

Credit Card Number _________________________________

Credit Card Expiration Date __________________________

Authorized Signature _____________________________

Date ____________________________

Return to:

Love A Golden Rescue

P.O. Box  27621

St. Louis  MO  63146-0621

 Recurring Donation Terms:  Your Recurring Donor Subscription will automatically renew until you cancel your subscription.  You may cancel your subscription to the Recurring Donor Plan for Love a Golden Rescue through your PayPal Account.  See PayPal for more details.