Sponsorship Application
(Please print and fax/mail your application to the number below)
Please print this form, fill it out, and return it to:
Action for Animals in Distress Society
Unit 652 141-6200 McKay Ave.
Burnaby, British Columbia
Canada
V5H 4M9
Fax: 604 431 7652
First Name:___________________________ Last Name:____________________________
Address:_____________________________________________________________________
Postal Code:_________________ Telephone: (Day)_______________ (Evening)____________
E-mail address:________________________________________________________________
Enclosed is my sponsor fee:
_____ CDN $20.00 monthly contribution
_____ CDN $225.00 annual contribution
A one time donation of ________ amount.
I will be paying by:
_____ Personal cheque or money order (payable to Action for Animals in distress Society).
Signature:_____________________________________________
** Please do not send cash through the mail**