Registration Form

July 17, 2010
Hogs for Dogs
Poker Run

Come Ride with Us!

Registration
Hogs for Dogs Poker Run
A CHA Animal Shelter Fundraiser
$25.00 single, $10.00 rider
Print and mail in.

Name: _____________________________________________

Address: ___________________________________________

City, State, Zip: ______________________________________

Phone:______________________________________________

Email: ______________________________________________

Sign up for CHA Animal Shelter news and Events?   Yes      No

Number of Drivers? _________    Number of Riders? ________

Amount Enclosed: _____________________Check # _________

Please Bill by credit Card

MC/Visa: _____________________________________________

Expiration Date: _______________________________________

Name on Card: ________________________________________

Please mail form and payment to:
                            Hogs for Dogs Poker Run
                            c/o CHA Animal Shelter
                            3765 Corporate Drive
                            Columbus, OH 43231

Thank you for your support! Please contact Chris@614-679-8607 or
email Stephanie@CHAnimalShelter.org with any questions.

CHA Animal Shelter is a registered 501(c)(3) non-profit organization in northeast Columbus, dedicated to ending pet overpopulation through public awareness, spay and neuter, and owner education. CHA has been helping homeless animals find new homes in central Ohio since 1975. More information about the shelter and its adoptable animals can be found at www.CHAAnimalShelter.org.