Donation Receipt Template

CHEW Animal Clinic

8484 Walnut Hill Lane Dallas, Texas 75231
Is this request for a one time donation or Year to Date contribution?*
Date of Contribution*

MonthDayYear
Date
Donor's Name*

First NameLast Name
Donor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Donation Amount*
TO GET A COPY OF THIS DONATION RECEIPT
example@example.com
Thank you for your generous donation to our Compassion Fund, every dollar donated goes directly to a pet in dire need of help. We rely on caring donors, such as yourself, to help those in immediate need of life-saving care, surgical intervention, and chronic on-going medical care.

CHEW Animal Clinic is a 501c3 charitable organization, EIN 85-3866990. Donations are tax deductible, no goods or services will be provided in exchange for this contribution.
Should be Empty:

CHEW Animal Clinic