Safe Haven Rabbit Rescue, Inc.
P.O. Box 5057,
Clinton, NJ  08809
908-238-0814

Animal Reiki Benefit Registration Form
for October 14, 2006

Safe Haven Rabbit Rescue, Inc. is a tax-deductible 501(c)3, non-profit organization whose mission is to find permanent homes for abandoned, abused, and stray rabbits.   All proceeds from this benefit go directly to the care of rabbits currently in foster care.  The bunnies Thank you in advance!  

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 Please Print Clearly!

           Name:  ______________________________________________  
          Address:  _____________________________________________
          City, State, Zip:  ______________________________________

          Email:  ______________________________________________

Telephone:   (Home)  _________________ (Work)  _______________

Animal(s) being registered:
Dog   Cat   Rabbit   Bird    Guinea Pig  Ferret  Reptile  Other 

Total Number of Animals:  1  2  3  

Appointment Time Requested:  - (We will try our best - if the requested time is available when form is received - please check webform for times remaining)

   ___________  with Jacqui                 _____________with Marie  

Donation Request:  $10 per animal payable by check or money order.

Please make check payable to:  Safe Haven Rabbit Rescue, Inc. and mail to PO Box above!

Thank You!