Thank you for considering becoming a Houston Pekingese Rescue Pack Pal.  If you have not read our information page about Sanctuary Dogs and Pack Pals, please click here to read the page now. 

You determine the amount that you want to donate each month.  You may change the amount or discontinue your gift at any time.  Keep in mind that regular monthly donations may be made through PayPal or by mailing a check or money order to Houston Pekingese Rescue.

If you are wanting to make a one time donation, please go to our Donation page to make a general donation, to our Pekes Needing Help page to donate toward a specific Special Needs dog, or to our Sanctuary Dogs page to donate to a specific Sanctuary Dog.

Please, fill out and submit the form below. 

NOTE: While navigating and filling out the form, please use the tab key or the mouse. DO NOT use the enter key. Using the enter key will cause the form to be submitted. If you accidentally submit the form before you are ready, use your browser's "Back" button to return to it.

    Today's Date:

YOUR INFORMATION:

    Your Full Name

    Street Address
    City    State    ZIP Code

    Your E-mail Address

    Phone Numbers Including Area Codes:
            Home:       Work:       Cell:

Name of the dog or dogs you are wanting to sponsor and/or General Fund. 

Amount you would like to send each month. 

Please, let us know how you would like to make your donation: PayPal or by mail. 

By typing your name below, you signify that you have filed out this form and are the individual stated.  You also give Houston Pekingese Rescue permission to contact you concerning your becoming a regular donor or a Pack Pal. 
Electronic Signature:

Please click the submit button only once.
It may take a few moments to go to the Confirmation page.

You should hear from us within 2 working days to confirm receipt of your form.
If for some reason you have not heard from us, please contact us.
Contact information is available from a link on our home page.

(click the "Submit" button to submit your form)
(click the "Reset" button to clear the form and start over)

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Form revised on September 20, 2007

Copyright © Houston Pekingese Rescue 2006 - 2007