Donate and Help a Chihuahua:  Mail-in Form

	Thank you for donating to the BCCR.  Once you have printed and completed the donation form, please mail to: BC Chihuahua Rescue P.O. Box 20049 Mission Hills RPO Mission, BC V2V 7P8 Attn:  Donations
Click here for a printable format of this form.

I want to help the BC Chihuahua Rescue (BCCR) and the dogs that they help. Enclosed is my gift of:

$15 ____ $25 ____ $50 ____ $100 ____ $250 ____ $500 ____ 

other $____

Date: ________________________________

My name:_____________________________

Address:_____________________________

City:_________________________________

Province/State:_____

Zip/Postal:____________________________

Daytime Telephone: _____________________

Email address: _________________________

Does your company have a match donations program? ______, If so, who do you work for? ________________________________________

If this is a memorial gift, please provide the following information:

This gift is in memory of: _________________________________

______ Pet ______ Person

Method of Donation:

_____ I have enclosed a check or money order, payable to the BC CHIHUAHUA RESCUE

The BCCR is proud to be a registered charity with: