Donation – PayPalPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.* indicates a required field Name *FirstLastEmail *Donation Amount (US $) *Minimum Price: $1.00May we include your name (or your kennel name, In Memory of, etc.) on the NISRA website donor list ? *No, I wish to remain anonymousYes, you have permission to include a name of my choosing on the NISRA website donor listWhat name would you like to appear on the Donor List? *Provide any additional information you would like us to know:Privacy Policy Confirmation Ticking this box and submitting this form, you confirm that you understand the following: This form collects your name, email address, phone number and other personal information to allow us to communicate with you now and in the future. For more information please see our Privacy Policy. Privacy Policy Confirmation *Yes, I understandI am not a Robot * = Please solve the math problem so we know you're not a RobotConfirmed DonationNoYesDate received:Actual Donation:Donate using PayPal
