Dear Animal Lover:

The Clermont County Humane Society is now giving you the chance to dedicate OUR web site to YOUR pet! Our pets are very important parts of our lives. We invite YOU to share your pet with animal lovers nationwide!

If you would like to dedicate the CCHS web site in memory or honor of your pet, please provide us with the following information:

1. Name of Pet to be remembered_________________________________

2. Pet's Age____________

3. Is this in memory of or dedicated to_____________________

4. Date you wish for the remembrance to appear_________________ (please send at least 2 weeks in advance of date to appear!)

Are you sending a photograph?________

Enclosed is my :

_______ $15.00 minimum donation

Additional donations are greatly appreciated

Address ___________________________________________________

Daytime Phone and area code _______________________

Evening Phone and area code _______________________

Fax ______________________

______________________________________________
Signature

________________________
Date

Mail Completed Form, along with Donation, to:

Sue Veldkamp, Webmaster
PO Box 54646
Cincinnati, Ohio 45254
ATTN: CCHS Pop Up Dedication
Make Check Payable to Clermont County Humane Society.
Questions? Feel free to email Sue at sveld@animalshelter.com.

*Note: There may be more than one pet memorialized or honored on any particular day. The dedication will appear for a minimum 24 hour period on the date you specify!