NISRA Rescue Calendar Donation via PayPal

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Name

First

Last

Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Calendar(s)

Please indicate the number of calendars you wish to purchase:

Cost of each calendar = US $20

Total Cost for Calendar(s):

Price: $0.00

Shipping

Please indicate where the Calendar(s) will be shipped:

US address
International address

Additional Donation?

If you would like to make an additional Donation to NISRA please indicate the amount below in US $:

PayPal Total:

Total to Submit to PayPal:

Item Quantity Total

There are no products selected.

Total Cost for Calendar(s): 1 $0.00

If you would like to make an additional Donation to NISRA please indicate the amount below in US $: 1 $0.00

Shipping Fee - US Customers - 1 - 6 Calendars 1 $10.00

Shipping Fee - US Customers - 7 - 20 Calendars 1 $13.00

Shipping Fee - US Customers - Ship with Complimentary Calendar 1 $0.00

Please enter the International Shipping Fee in US $ (as determined by Elaine) 1 $0.00

Total $0.00

Donor List Entry

May we include your name (or your kennel name, In Memory of, etc.) on the NISRA website donor list?

No, I wish to remain anonymous
Yes, you have permission to include a name of my choosing on the NISRA website donor list

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Yes, I understand

Confirmed Payment