Donation Amount
Amount
$25.00
$50.00
$100.00
Type of Donation
One Time Donation
Recurring Donation
Frequency
Monthly
Quarterly
Annual
Contact Information
First Name
Last Name
Company Name
Address
City
State/Province
Zip/Postal Code
Home Phone
Work Phone
Email
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Birth Date
mm/dd/yyyy
Help Us Save Even More Dogs and Cats
Did you know that by covering the processing fee, Oklahoma Humane Society will be able to save even more lives? Simply leave “Yes” checked below to help us with these additional expenses.
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Credit Card Information
Card Holder Name
Visa
MasterCard
Discover
American Express
Card Account Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
24
25
26
27
28
29
30
31
32
33
34
Security Code
Billing Address
Same As Above
Address
City
State/Province
Zip/Postal Code
Email
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