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Date:
Donator's Name:
Donator's Address:
Note: Since the Fulton County Humane Society is registered as a 501.3(C) charitable organization, all donations are fully tax deductible. What email address would you like to use for your Tax Deduction Receipt?
If you don't want your receipt sent via email - What address do you want it sent to?
Description of contribution (i.e. money, supplies, etc.):
Value amount of contribution: (As determined by Donator).
Name & Contact Information of person who collected donation
Name of person submitting form (if different):

 

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