Online Donation

The Portuguese Water Dog Foundation, Inc.
Online Credit Card Contribution

The Portuguese Water Dog Foundation, Inc. needs your help and support to fund research to improve the quality of life and health of our Portuguese Water Dogs. Your tax-deductible donation, in any amount, would be greatly appreciated. In addition to personal donations, a donation may be made in memory or honor of a friend or loved one, whether human or canine. Donors’ names will be kept anonymous upon request.

Donor levels are: Deck Hand (up to $49); Sailor ($50 to $99); Boatswain ($100 to $249); First Mate ($250 to $499); Captain ($500 - $999); Commodore ($1000 or more)

Yes, I want to do my part to help Portuguese Water Dogs. Please accept my donation.


	Donation should be listed as:


	Donation is:


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	Please send acknowledgement for donation to: (if other than cardholder)


	Name as it appears on the Credit Card: (required)


	Credit Card Number: (required)



	Credit Card Security Code: (required) (Last 3 digits printed above signature. Amex 4 digits printed on front of card)



	Please send receipt to cardholder at:

	Cardholder Name: (required)



	Cardholder Address: (required)



	Cardholder City, State, Zip: (required)



	Cardholder Email: (required)


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	Expiration Date: (required)



	Donation Amount: (required)


	Comments: (Commemorative info must be specified above. Additional information cannot be accepted.)


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