Pasado's Safe Haven: Rescue & Rehabilitation of Domestic & Factory Farm Animals

I have enclosed my a (credit or check) donation payable to Pasado's Safe Haven in the amount of $_________ to cover the minimum $25.00 donation per person (no children under the age of 12 please). I understand my donation is fully tax-deductible, and that no tickets will be mailed to me. My name and the number in my party will be listed at the Pasado's Safe Haven reception desk on the day of my visit. I also understand there will be no refund of donations, but I may re-schedule my visit for a different scheduled day by notifying the sanctuary by calling 360-793-9393 up to 48 hours prior to the originally scheduled event.

We will send an acknowledgment of your reservation, with directions to the sanctuary by e-mail, postal mail, or fax. There is no need to telephone or email us for confirmation. We will expect to see you on your reserved tour day!

If the tour date you have chosen is full, we will email or call you to re-schedule another day.

Please donate as much as you can for this wonderful experience.
Our animals need your help.

General Information

First Name:
Middle Initial:
Last Name:
Address:
City/State/Zip:
Work Phone:
Home Phone:
Email:	(In case we have questions)

Interested In:

Attendees

Full name of Attendee 1:
Attendee 2:
Attendee 3:
Attendee 4:
Attendee 5:
Attendee 6:
Attendee 7:
Attendee 8:
Attendee 9:
Attendee 10:
	**No children under the age of 12

Is this a special occasion?

Donation Information

Tours are a minimum donation of $25.
Donation Type:
Donation Amount:	$25 $50 $100 $500
Other Amount:	$

Background Check

REQUEST FOR CRIMINAL HISTORY INFORMATION CHILD/ADULT ABUSE INFORMATION ACT RCW 43.43.830 THROUGH 43.43.845 Washington State law requires us to conduct a background check on individuals who will or may have unsupervised access to children under sixteen years of age, developmentally disabled persons, or vulnerable adults. Therefore, we ask every visitor and volunteer to provide the necessary information to conduct a background check. Your application, any additional information you provide, and the results of the background check are kept completely confidential. We appreciate your cooperation.
Alias/Maiden Name:
DOB:
Sex:

Billing

Check Enclosed:	Yes No

Card Type:
Name on Card:
Card Number:
Exp Date:	Month: Year:

We appreciate your tax-free donations to help the animals. Please make your donation for this event as large as your heart will allow. Foreign visitors please note: we are not equipped to accept foreign currency. US funds only, please.

PRINT OUT THIS FORM AND FAX TO 425-820-1717
or mail to P.O. Box 171, Sultan, WA 98294

Mail-in To:

Pasado's Safe Haven
P.O. Box 171
Sultan, WA 98294

Fax To:
(425) 820-1717

$35+ donations automatically receive Pasado's quarterly snail-mail newsletter. Keep an eye out in your mailbox!