Memorial Gifts

I (we) wish to make a Memorial Gift in the amount of:

to the

[ ] NNTC DAF - Norwich
[ ] NNTC DAF - Norfolk

Please make your check payable to the AKC Canine Health Foundation designated (in the memo space) to the Norwich Norfolk-Donor Advised Fund (NN-DAF). Please send your check and this form to:

Marjorie McTernan, NNTC Treasurer
920 Linkside Way
Punta Gorda, FL 33955

Gifts to the AKC Canine Health Foundation are tax-deductible to the fullest extent to the law.

Please send a letter of acknowledgment to:

Name:

Address:

Please specify:

In memory of:

Please send an announcement of my Memorial Gift to: (For donations of US$50 or more, a certificate will accompany this letter.)

Name:

Address: