Holiday Tribute Donation

A Canine Companions holiday card will be sent to the recipient you list below under "send card to", with your own personalized message.

Last day to make a donation with guaranteed card delivery is Monday, December 17th!
* required information
Holiday Tribute Donation
Donation Amount
:* $
Donor Information
Canine Companions maintains a long standing policy to never sell or share our donors' information with any other organization.
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
How did you hear about us?:
Payment Information
:*   Explain
Credit Card Type:*
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
Tribute Card Information
The information below will be used to send a Holiday Card to the recipient at the address provided.
Send Card To:
Continue without sending acknowledgement: Yes
Recipient Address:
Recipient City:
Recipient State:
Recipient Zip:
Card Is From:
Personal Message:
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Thank you for making a world of difference in the life of a person with a disability!

If you have any questions, please contact Canine Companions for Independence at or call us toll-free at (866) 224-3647. Monday through Friday 9am to 5pm PST.

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