Metropolitan Maltese Rescue Donation Form

Please print out this form and mail it in with your donation check or money order.

        Name:___________________________________________________

        Address:__________________________________________________

        __________________________________________________________

        Donation Amount:_________________________________________

If you wish to make a donation in another person's name please fill the information below. We will send a card to the recipient or their family for you.

        Name of recipient:____________________________________________

        Address of recipient or their family:____________________________

        ______________________________________________________________

        ______________________________________________________________

        ______________________________________________________________

        Is this for a  ____ memorial ____birthday gift    ____Christmas gift
        ____Other. If other, please tell us what it is____________________.

Please mail this along with your check to:
Metropolitan Maltese Rescue
P.O.  Box  20395
New York, NY 10011