Sponsor Registration
Please check the selected sponsorship level above, complete your contact and payment information and fax: (301-279-1998) or mail to:
Montgomery County Humane Society
Paws in the Park
14645 Rothgeb Drive ● Rockville, MD 20850
Name:_____________________________________________________
Phone: ____________________________________________________
Company:__________________________________________________
Address:___________________________________________________
City:_________________________State_____ Zip Code____________
Email:______________________________________________________
URL:_______________________________________________________
Form of Payment: □Visa □MasterCard □Discover
□Check (Payable to MCHS)
Credit Card #:______________________________________________
Exp. Date:_________________________________________________
Signature:_________________________________________________
|
