| Please circle amount donated: $25 $50 $75 $100 Other ________ PLEASE PRINT: Name_________________________________________________________________ Address_______________________________________________________________ Telephone No.__________________________________________________________ Print and fill out form Make checks payable to: Animal Aid Society, Inc., Mail check to: Animal Aid Society, Inc., PDA Puppies Fund, P.O. Box 1865, Grafton, VA 23692 Your donation will be used to provide surgery and after-care for puppies Angelica, Mickey and Minnie. Everyone at Animal Aid and the puppies, thank you for your donation. 
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