Yes!  I want to make a difference in the life of a shelter animal.

 [  ] $10  [  ] $20   [  ] $50   [  ] $100  [  ] Other $__________

Name: ___________________________________________________

 Address: __________________________________________________

 City: __________________________ State___________ Zip ________ 

(optional) Phone: ___________________________

In memory of __________________________________________

Please mail to:  Friends of the Animal Shelter
                              701 Lower Lake Road
                              St. Joseph, MO  64504

Your support is much needed and very much appreciated!!

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