BLAIKIEWELL ANIMAL SANCTUARY
DONATION

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THE BLAIKIEWELL ANIMAL SANCTUARY,
EASTLAND LODGE,
MARYCULTER,
ABERDEEN.
AB12 5FS
U.K.

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or email your details to us and
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NAME :                        _______________________________________

E-MAIL ADDRESS:   _______________________________________

ADDRESS:                 ________________________________________

                                   ________________________________________

                                    ________________________________________

                                    ________________________________________

I WOULD LIKE A MEMORIAL PAGE FOR MY PET

NAME OF PET                    _____________________


I WOULD LIKE MY NAME TO APPEAR ON HIS/HER WEB PAGE         
                                                                           (PLEASE STATE)              YES or NO

PLEASE ENCLOSE A PHOTO OF YOUR PET, IF YOU WISH, ALONG WITH ANYTHING YOU WOULD LIKE TO SAY ABOUT HIM/HER AND DETAILS OF FLOWERS, CANDLES  ETC YOU WOULD LIKE TO SEE ON THE PAGE


I ENCLOSE MY DONATION OF     ________________(all currrencies acceptable)

PLEASE MAKE CHEQUES ETC PAYABLE TO 'BLAIKIEWELL  ANIMAL  SANCTUARY'

THANK YOU VERY MUCH
AND MAY WE EXTEND OUR SINCERE SYMPATHY TO YOU