Humane Society of Blooming Grove
P.O. Box 226
Washingtonville, NY. 10992

Calendar information and request. Please submit this page to the Blooming Grove Humane Society. Remember dates and month top pages are on a fist come, first serve basis. Please include a picture of your pet and a check or money order payable to Blooming Grove Humane Society.

ALL PHOTOS MUST BE IN DIGITAL FORMAT OR PRINT. NO PAPER COPIES WILL BE EXCEPTED.





First Date choice_________________________________

Second date choice in case first is taken_______________

Pets Name_____________________________________

Date If placing your pets picture on a day of the year_______


$20.00 first date, $10.00 each additional date.

Month if placing your pets picture at top of month__________
$75.00 for top page

Amount Enclosed $__________________

Name and Address________________________________

_______________________________________________

Contact  Phone number(s)___________________________

Thank you for your Support!!



Print this form using your Browser Print Option


Image of tailhome.gif