Please print and mail this form to:

P. O. Box 622

Hamilton, GA 31811

 or copy/paste it into an email to us at: safehavenga@yahoo.com

I want to help. Here's what I can do:

  ___ Annual membership fee of $20.00
  ___ Donation of $___________________________________
  ___ Volunteer time__________________________________
  ___ Name:__________________________________________
  ___ Phone:_________________________________________
  ___ Address:________________________________________
  ___ E-Mail:_________________________________________
  ___ Sponsor an animal (pay vet costs)