Papillon Pals Rescue, Inc.
SPONSOR APPLICATION

What is the name of the dog you are inquiring about?

Date:               

Your First Name:    

Last Name:       

Street Address:          

City, ST, ZIP

Home Phone:

Work Phone:            

Cell:                

Email Address:

What is the amount of your sponsor donation?

Is this gift for or in the name of someone else?

If this is a gift for or in the name of another person, please include the details here including shipping address for the person we should
ship to:






__________________________________        ___________________    

Applicant Signature                                                   Date



__________________________________                

Please Print Your Name Here

All donations are tax deductible as we are a non-profit organization and all money goes into the care of the little one you are sponsoring.
Please print this form, complete all information and mail to the address listed at the bottom of the page.
Papillon Pals Rescue
Saving One Little Dog at a Time
Sponsor Application