BUY A BRICK -      BUILD OUR HUMANE DOMAIN

Florence Area Humane Society                                                                                          
P.O. Box 527
Florence, SC 29503

Name:___________________________________

Address:__________________________________

City:____________________________ State:_____ Zip:_______

Phone:________________________

Charge to my Visa/Mastercard: #_________________________ Exp:___________ or make check payable to:  Florence Area Humane Society

Buy-A-Brick ($100 minimum per brick): *14 characters maximum, including spaces, per line

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