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    ____holiday gift
____Other. If other, please tell us what it is____________________.


Please mail this along with your check to:

Metropolitan Maltese Rescue
P.O.  Box  20721
New York, NY 10021