Name a Rescue CP Dog Donation/

For each donation of $100 or larger, you can 'Name a Rescue Dog'. Names will be subject to our 'standard' conventions - All CPCRN dogs have a unique name, and CPCRN reserves the right to refuse any name without giving a reason. If the name you suggest is not usable, we will contact you for a substitute name.

You will receive a confirmation email including all details listed below. If you do not, please contact cpcrn@cairnrescue.com

If paying by check, please send to

CPCRN

PO Box 33

Mehoopany PA 18629

(make sure to put "name a dog" in the memo line)

Today's Date

Dog Gender:

Name:

Comments

Dog Gender:

Name:

Comments:

First Name: *

Last Name: *

E-mail: *

Phone: *

Address 1: *

Address 2:

City: *

State: *

Zip/Postal Code: *

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) *