Companion Animal Fund Gift Form Instructions: Print out this form by clicking "Print" on your internet browser. Then mail form and check to: Companion Animal Fund College of Veterinary Medicine 1600 S. 16th Street Room 1804 Iowa State University Ames, Iowa  50011-1250 I want to make a difference with a Memorial Gift or a Gift of Tribute $ ____________________________ Amount Enclosed (make check payable to ISU Companion Animal Fund) __________________________________________ THIS GIFT IS GIVEN IN MEMORY OR HONOR OF __________________________________________ SPECIES  (Dog, Cat, Horse, Etc.) __________________________________________ BREED Please indicate if in honor of a companion animal or person: [  ] living animal               [  ] living person [  ] deceased animal         [  ] deceased person Please send notification to: __________________________________________ NAME __________________________________________ ADDRESS __________________________________________ CITY / STATE / ZIP Please credit me or my practice for this gift: __________________________________________ DONOR'S NAME OR CLINIC NAME __________________________________________ ADDRESS __________________________________________ CITY / STATE / ZIP ____________________ TELEPHONE Please send me: [  ] copies of the Companion Animal Fund brochure [  ] information on making a planned gift through my estate