^{1935 20th Ave SE   .   Minot, ND 58701   .   701-839-6116   .   FAX 701-838-7622}

MEMORIALS OR HONORS

Memorialize or honor your loved one with a donation to the Souris Valley Humane Society

$_____________ in memory of past person(s) or pet(s)                 

Name(s) _________________________________________                   

Send acknowledgement to:                                            

Name ___________________________________________

Address__________________________________________

City______________________ State_____ Zip__________                           

$_____________ in honor of living person(s) or pet(s)

Name(s) ________________________________________

Send acknowledgement to:

Name __________________________________________

Address ________________________________________ City_________________________ State_____ Zip______

Thank you for your donation!