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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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