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Magic Bullet Fund
Donate by Mail
Print this page, fill in the blanks and mail with money order to
The Magic Bullet Fund  PO Box 2574, Briarcliff NY  10510

Your Name __________________  Address _________________________________________________________

Telephone number  ___________________________        Email address ________________________________

Message to fund (optional)________________________________________________________________________

Make a donation to the Magic Bullet Fund
We will use your contribution toward treatment for a dog in the fund or to accept a new dog into the fund.
* Check if you want this donation to be anonymous. If so, we will NOT post your name    _____
$_______
Donate toward treatment for a dog in the Fund 
Name of dog in the Magic Bullet Fund (See Meet the Dogs online)  ______________
* Check if you want this donation to be anonymous. If so, we will NOT post your name   _____

$_______
Donate in loving memory of your special pet        Pet's Name __________
$_______
Donate in loving memory for a friend's pet  Pet's name ____________
Owner's Name and Address (email or physical)_________________________________________
__________________________________________________________________________________

$_______
Stainless steel medallions. One for you on a chain, and one for your dog's collar.

___  Medallions on a chain for you ($12.00)

___  Medallions for a dog's collar ($12.00)
___  Medallion sets  (both above)  ($20.00)

Add $5.49 shipping in US (up to 10 items)
$7.50 shipping Canada (up to 10)
$9.50 shipping elsewhere (up to 10)

$_______
CANINE CANCER Wristbands
Send me ____ Canine Cancer wristbands.
I've enclosed a money order for :
$2.00 for each wristband.
$1.75 each for 5 wristbands
$1.50 each for 10 wristbands

(+ $1.75 mailing cost)
$_______
TOTAL ENCLOSED
*Money order or bank check
$_______