ANNOUNCING HSMC’S
“PLEDGE-A-PLAQUE” PROGRAM
Show your support for our new shelter with a personalized plaque display!
Our shelter building on State Route 3 is in the final stages of renovation. The new facility will offer opportunities to memorialize a person, pet, family name or business. An engraved plaque will be affixed to the object at this facility that the monies were donated for to recognize your contribution. Your chosen text (up to 50 characters) can be accompanied by a photo if you like (digital, please). All plaques will be prominently displayed and visible to the general public. You can pay by check, MasterCard, VISA, AmEx, Discover or PayPal.
Comments Donation Amount for Each How Many Available Additional Comments Dog Kennels $750.00 14 Dog Room $2,000.00 1 Donation Received Cat Crates (stainless steel) $500.00 11 Cat Room $1,000.00 0 Donation Received Kitten Play Room $1,000.00 0 Donation Received Visiting Room $1,000.00 0 Donation Received Office/Animal Records $1,000.00 1 Exam Room $1,500.00 1
We can also arrange for individuals to “co-sponsor” a dedication by adding you to our wait list for partial sponsorships. However, if a full sponsorship is offered in the meantime, we will be obliged to accept that full offer.
Another “giving” opportunity is the ongoing Donor Wall Plaque. We have established five donation levels. The Donor Wall will ensure that HSMC will be able to recognize the generosity of those who contribute to the shelter.
DONOR WALL
“Partners for Pets”
$5,000 Guardian Partner
$2,500 Defending Partner
$1,000 Preserving Partner
$500 Protecting Partner
$250 Sentry Partner
We plan to offer more items in the future such as trees, benches, fencing, and bricks for a path.
Monies/gifts are tax deductible to the extent provided by the law. All gifts benefit the animals of The Humane Society of Monroe County, IL. HSMC is a non-profit 501c3 charitable organization supported entirely by donations.
Questions? Please call 618-282-PETS.
Order/Donation Form
I would like to sponsor a plaque for the following item (circle choice below). See payment options below.
I am interested in co-sponsoring a plaque for the following item (circle choice below). Please add me to the wait list for half of the applicable donation amount (no payment due at this time). I understand HSMC is obliged to accept any full sponsorship that may be offered for this item in the meantime.
I would like to make a donation of $__________ for the “Partners for Pets” donor wall. (Please specify your desired amount from the five levels listed above). See payment options below.
I would like to make a general donation of $_______ towards the shelter operations. Any amount is welcome! See payment options below.
PLEASE CIRCLE ONE:
Dog kennel ($750) Exam Room ($1,500)
Cat crate ($500) Office/Animal Records ($1,000)
Your inscription text for plaque or donor wall (50 characters or less; please print):
Do you wish to include a photo on your plaque (digital please)? ________ (yes or no)
If yes, HSMC will contact you.
Name
Address
City, State, Zip
Day phone __________________ Evening phone _______________
Payment Enclosed $____________
(Payment for partial sponsorships will be due upon completion of co-sponsor arrangement)
_____ Check enclosed made payable to “HSMC”.
_____VISA _____ MasterCard _____ Discover ______AmEx
Exp M/Y Charge card number Security Code
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Signature:
(required for credit card donations)
Mail entire form to: HSMC, P.O. Box 164, Waterloo IL 62298
Revised June 26, 2007 Page design by Mechelle Childers Copyright @ 2007 Humane Society of Monroe County.
