MEW Program

(Monthly Electronic Withdrawal)

__ Yes! I want to support feral cats through MEW.
I authorize the Feral Cat Coalition of Oregon to arrange automatic monthly payments. (A $5 minimum donation is just 16 cents per day)

Please make Monthly Electronic Withdrawals from my checking account for the following amount:

__ $5 __ $10 __ $25 __ $50 Other $ _____

Signature: _______________________________
Date: __________________________________
Name: _________________________________
Address: _______________________________
City/State/Zip: __________________________
Telephone: ______________________________

Mail this form to: P.O. Box 82734, Portland, Oregon 97282
Please remember to include a voided check.