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Registration Form

Lemon-Aid Day for Animals HELPING ANIMALS ACROSS LOUISIANA

Saturday, August 18th, 2012 Name:_____________________________________________________________________________________ Age:________________________________________ Address:______________________________________ City:_________________________________________ State:_______________ Zip:_____________________ Email:_____________________________________________________________________________________ Home Phone:________________________________ Cell Phone:____________________________________ Lemon-Aid Stand Hours of Operation:_________________________________________________________ Possible Location:___________________________________________________________________________ Signature: _________________________________________________________________________________ I pledge to help Louisiana’s homeless, abused and neglected animals by operating a ‘lemon-aid’ stand on August 18th on behalf of the Humane Society of Louisiana. All proceeds, after expenses, will be turned over to the Humane Society of Louisiana no later than August 25th, 2012. Please submit total funds raised online at www.HumaneLA.org/donate.htm or send a check or money order to Humane Society of Louisiana, P.O. Box 740321, New Orleans, LA 70174. Please also send photos from your event to info@humanela.org. Submitted photos will become property of the Humane Society for use in future publications and promotional materials. Please identify individuals in each photo submitted. Questions can directed to 1-888-6-HUMANE or you may contact Jeff Dorson, HSL Director, at 901-268-4432.


Lemon-Aid for Animals