Visionary Circle commitment form When you become a Visionary Circle member, you help us face new challenges in animal protection and allow us to go the extra mile for those who need us. Please fill in the information below, including the month you will be making your donation. Your support is greatly appreciated. If you have any questions please call (734) 661-3525 or email email@example.com. First Name * Last Name Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email I/We wish to be recognized as (If you wish to remain anonymous, please type in "Anonymous") I/We are most passionate about: * Community Cat Program Cruelty and Rescue Humane Education Medical Care Please enter your gift amount Is this donation a 3-year commitment (i.e., this amount will automatically repeat for three years)? Yes No When would you like to begin your three year commitment to the Visionary Circle? How will you make your donations? I/We will mail a check I/We will make the donation online I/We will make the donation in person at the shelter - Yes, add me to the HSHV email list for the latest promotions and updates from HSHV. Submit If you are human, leave this field blank.