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Donation

* Mandatory fields
SALUTATION
*First name
*Last name
SUFFIX
*Email
Phone
BUSINESS NAME
*MAILING ADDRESS
*CITY
*STATE
2 letter abbreviation
*ZIP
*COUNTRY
Spouse_Partner Name
*Amount ($USD)
*Earmark Your Donation
 

Addt'l earmark details

2018_Strut Your Mutt
Special Needs Springers
Clear selection
Select one, if your donation is for a Special Needs Springer.

Note: Any funds raised in excess of this dog's need may be applied to another needy dog without restriction
Dog Name / Intake Number
To earmark a donation for a specific dog, that is not listed as a Special Needs Springer, please provide the name & the intake number (if known).
Other reason (please specify)
Memorial or Tribute Instructions
Please include details associated with memorial or honorary donations, including those ESRA should notify of the donation.
*ALL Donations - permission to post on website
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