: The Animal House

Donation Form

Due Date of Donation. Three weeks notice is required.

Is your fundraising effort?

Locally-based	Yes No
Of Direct Benefit to Brown County Residents	Yes No
Supportive of Diversity Acceptance, Public Safety Drug/Alcohol Awareness, Poverty/Homelessness, Or the Environment	Yes No

Is your organization a non-profit?	Yes No
Do you have a flyer of the fundraiser that can be attached via email or mailed in? Important: Your request can not be considered without this documentation.	Yes No

Name of Organization:

Address of Organization:

Phone Number of Organization:

Describe Fundraiser:

Explain Reason for Fundraiser:

Your Name:

Your Email Address: This is our preferred method of contact.

Your Phone Number

Ok to contact via email? Yes No

Any other information to share?

Do you have a flyer or other communications to Attach?

Do you prefer to mail flyer? Yes No

Please send correspondence to:
The Animal House Pet Clinic
Charitable Donation Request
3171 Voyager Drive
Green Bay, Wi 54311