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-- Donation Form --

Fill out form, print page, and mail/fax (970-731-5552), payable to Humane Society of Pagosa Springs if paying by check, to:

   Humane Society of Pagosa Springs
   Attn: Homeward Bound
   PO Box 2230
   Pagosa Springs, CO 81147


Donation Amount:
 
Name:
Address:
City:
State:   Zip:
E-Mail:
 
Charge to: Mastercard   Visa 
  American Express 
Name on Card:
Credit Card #:
Exp. Date:
Click for HSPS Link

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