Enclosed is my donation of $_________________

 If you have a specific program you would like your donation used for  such as spay/neuter, the Boulder transfer program, the barn cat program or any specific program, write you intent here:

_________________________________________________________

or

I would like to donate as a memorial to a loved one $____________

 In Memory of _________________________________________

 Send Acknowledgment to ______________________________

___________________________________________________

___________________________________________________

 Phone: ___________________
 

Your name and address (Thank You! Your Donation is Tax Deductible)

Name:__________________________________________________________

Address:________________________________________________________

City State Zip:___________________________________________________

Phone: _________________________________________________________
 

Print and mail to:
Washington Co. SPCA
16620 State 123 Hwy.
Bartlesville, OK 74003