Grandparent Donations

Thank you for choosing to sponsor and become a "Grandparent" to one of our dogs. Grandparents Your generous one time donation will go towards the specific dog of your choice that you will select below. As a Grandparent, should you wish, your name will be on the dog's personal page until he/she is adopted.

To donate, you may fill out our secure online donation form below. If you prefer, you may also donate by check. Please make checks out to CPCRN and mail to the address below:

CPCRN
PO Box 33
Mehoopany, PA 18629

On behalf of the entire Col. Potter Team, we thank you for your generosity. Remember, "Saving just one dog won't change the world, but it surely will change the world for that one dog"

Today's Date

First Name *

Last Name *

E-mail *

Phone *

Address 1 *

Address 2

City *

State *

Zip/Postal Code *

What kind of donation is this? *

General
Guardian Angel
Grandparent

By selecting "General," your dollars will go to help all dogs.

By selecting "Guardian Angel," your dollars will go towards helping a specific dog in need of medical care.

By selecting "Grandparent," your dollars will go to the specific dog of your choosing.

Name of Dog

Select dog name from drop-down menu if you would like to donate to a specific dog

Donation Amount *

Payment Type *

Credit Card
Paypal
Pay by Check

Cardholder Name *

Card Type *

Visa Mastercard/Eurocard American Express Discover Network

Card Number *

Exp Date *

Security Code (CID/CCV2) *

If this is a gift, please provide the following information:

Gift for Name

E-mail

Address 1

Address 2

City

State

Zip/Postal Code

Any comments you would like to leave