Donation Form

* Required Fields

Donation Information

Amount

Type of Donation

One Time Donation
Recurring Donation

Frequency

Complete the following fields if this gift is a tribute. (optional)

Type of Tribute

Tribute Name

Complete Tribute's information below if you would like for them to receive acknowledgement of your gift. (optional)

Title

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

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

Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Humane Society of Tampa and I will donate $0.00. No. I will donate $0.00 and Humane Society of Tampa will cover the processing costs.

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
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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.

Humane Society of Tampa Bay •• 3607 N Armenia Ave, Tampa, FL 33607 •• 813-774-4306 •• [email protected]

"A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE." 1-800-435-7352 SC-00284.