
S©P©C©A GUARDIAN ANGELS APPLICATION
| Name: | __________________________________________________ |
| Address: | __________________________________________________ |
| City, State, zip: | __________________________________________________ |
Phone: _____________________ E-mail: _______________
I want to be a Guardian Angel for _______ months (minimum 3 months at $10/month). I have enclosed a check or money order in the amount of $ ________.
Name of dog: ________________________________________
Please initial here ____ if you agree to be named on the website Guardian Angels list.
I will be sent periodic updates and copies of ads that my chosen dog is listed in. I also agree to commit for at least 3 months.
_____________________________________________________________
| SIGNATURE | DATE |
Please mail form to:
SPCA of Northern Virginia
Attn: Jane Fitzgibbons
P.O. Box 100220
Arlington, VA 22210
(703) 799-9390
Thanks for helping the animals!!
Painting above ©Jonathon
Bowser and is used with his written permission.