Sponsorship Form

We are raising funds to assist with extraordinary medical emergencies for Dalmatians and Dalmatian mixes. If you would like to assist in this effort and have a Dal that you want to sponsor, please complete this form and then use our PayPal link on our home page to send in your donation. Thanks for helping us help our rescue Dalmatians.

Name: 
Address Line 1: 
Address Line 2: 
City:     State:     Zip:    

E-mail: 
Contact phone number: 

I want to sponsor: (pet’s name)
OR CHOOSE a Pet for me!!! 

I want to contribute $.

Would you like to be listed as one of our Angels? Yes No

Would you like to be listed as the sponsor for your chosen pet? Yes No