PLEASE SELECT YOUR DONATION AMOUNT $10$25$30$60$80$100$200Other Donation Amount (enter dollar amount only): (Minimum $10) Make this my monthly donation. (We will automatically receive your gift each month.) Duration*: ---3 Months6 Months9 Months12 Months YOUR INFORMATION Full Name*: ---Mr.Ms.Dr. Email*: Phone*: BILLING INFORMATION Address*: City*: State*: Zip*: Select Which Fund You’d like to donate to*: ---General FundBuilding FundDog Care Fund Is this a donation to honor a pet or person in memorium? If so, please add your message: Message to Putnam Dog Service: PAYMENT INFORMATION