Humane Society of Eastern Carolina Donation Form

Instructions: Please fill out the form then print it out by clicking the PRINT button below. Enclose the form and your check (made out to "HSEC") in an envelope or note that you made your donation via PayPal. Send it to the following address: Humane Society of Eastern Carolina, P.O. Box 30527, Greenville, NC 27833-0527.

Please provide the following contact information:

*Name*
*Street Address*
*Address (cont.)*
*City*
*State/Province*

*Zip/Postal Code*
*Home Phone*
*E-mail*

Choose one of the following levels of donation:

Click here for more information
about levels of donation.

What kind of pet(s) do you currently have? Cat Dog
Please check all areas that are of interest to you: Membership Financial Contributions Fundraising Activities Donation of Business Services or Materials Newsletter Facility Volunteer Foster Care Board Member Adoption Counselor Other, please specify
Would you like a receipt of your donation?	Yes No
Please check "Yes" If you submitted your donation via PayPal.	Yes No

Finished? Print out the form from your browser.

Receipts should be mailed to the address you entered above within six weeks of receipt. If you have not received a receipt you requested after seven weeks, then please call HSEC at (252) 413-7247.