Donation Form

By becoming a NH Humane Society Guardian, you play an integral part in supporting the welfare of the animals at NH Humane Society and our quest to find all adoptable animals a home. Your monthly pledge of support means so much to the abused, homeless, neglected and lost. Just $10 a month, $0.30 a day, makes a big difference! Every dollar adds up, and it adds up quickly.

* Required Fields

Contact Information
* First Name
* Last Name
Company Name
* Address
Address 2
* City
* State/Province
* Zip/Postal Code
Home Phone
Cell Phone
Work Phone
* Email

Payment Information
Payment Options

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

For your recurring pledge, the account information provided above
will be stored securely via SafeSave™ for automatic processing of your future payments.
Simply notify us at anytime if you wish to discontinue your pledge.

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.