Arizona Humane Society

Gift & Payment Information

April 2021 Match Donation Form
Today, you can double your impact and save twice as many lives thanks to our friends at Hill's® Science Diet®. Every dollar you donate up to $15,000 will become two so we can help more Valley pets. Imagine how many precious animals will be rescued, healed, sheltered, fed and adopted with your help now!

Gift Information

Field Is Required Gift Amount:

$50.00

DOUBLES TO $100

$100.00

DOUBLES TO $200

$500.00

DOUBLES TO $1,000

$1,000.00

DOUBLES TO $2,000

Other Amount:

Enter amount

Yes, I want to give love all year!

Make this a monthly gift

Add an additional 3% to offset fees?

Yes, add 3% to the total to cover transaction fees so there is more money for toys and treats for the pets.

Additional Amount:

Looking to give with Apple Pay, Masterpass or Visa Checkout?

Credit Card Information

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Yes, I would like to receive communication from this organization.

Remember me (does not include credit card information)

Payment Information

Payment Method:

Credit CardBank Account Withdrawal

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Checking Account Information:

Bank Routing Number: What is this?

Bank Account Number:

Verify Bank Account Number:

Account Type:

Checking
Savings

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

Check Information

Employer Matching Gift Program

If your company offers a matching gift program, use the field below to search for your company name, and select a result from the list.

Matching Company: