YES! I'd like to help save Greyhounds. Please accept my tax deductible donation.

Name:_______________________________________________________

Street:_____________________________________________________

City:_______________________________________________________

State:_____________________________           Zip:______________________

Phone:_______________________________     Email:_______________________________________________

May we contact you via email regarding MGPS matters? Yes_____     No_____

Have you ever adopted a Greyhound? Yes_____     No_____     If so, name (s)____________________________

Are you interested in adopting a Greyhound? Yes_____     No_____

Donation Amount:
______ $10 ______ $25 ______ $50 ______ $100 ______ Other

Payment Method: _____Check enclosed (Payable to MGPS)
_____Credit Card     _____Master Card     _____VISA
Card no.______________________________ Expiration______________________

_____ Please send me a receipt.     _____ Please send me a bumper sticker.

Please mail this form and your donation to:
Maine Greyhound Placement Service
249 Old Belgrade Rd
Augusta, ME 04330

Donations to MGPS are tax deductible. Membership terms correspond with the calendar year.