"Dog Park Donation Request Form" - City of Rancho Mirage, California

Dog Park Donation Request Form is a legal document that was released by the Administrative Services Department - City of Rancho Mirage, California - a government authority operating within California. The form may be used strictly within City of Rancho Mirage.

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DOG PARK DONATION
Request Form
Dog Bone Tag $1OO*
Contact Person: ___________________________________________________________________________________
Organization/Company: __________________________________________________________________________
Street Address: ____________________________________________________________________________________
City: ____________________________________________________________ State: _____ Zip: __________________
Phone: ___________________________________________________________Cell: ____________________________
E-mail: ____________________________________________________________________________________________
ENGRAVING INFORMATION:
EXAMPLES:
LINE 1: ( SELECT ONE )
In honor of
In memory of
Donated by
In recognition of
In memory of Fido.
He loved the
LINE 2: ( 2O CHARACTER LIMIT )
Dog Park.
O1/17
( i.e. Name of pet(s), person(s) or group being honored/remembered, etc. )
LINE 3: ( 2O CHARACTER LIMIT )
( i.e. Name of Donor(s), Donated by, etc. )
Donated by
The Friends
LINE 4: Donation Date ( Mo/Yr )
of Dog Club
O2/17
/
I understand that the item donated will be purchased by the City of Rancho Mirage
and will become City property. The City will order and install the donated item in the
approved location. The City will perform general maintenance and upkeep of the
In honor of Buddy
donated item until it is removed in fi ve (5) years after installation date. The City
– Adopted by
accepts no liability for damage to any donated item from vandals or third parties. The
The Smith Family
City reserves the right to remove any donated item that has been damaged beyond
O3/17
repair. Engraving with promotional messages and/or websites are prohibited.
*Donations are tax--deductible.
Signature: _______________________________________________________ Date: ____________________________
FOR MORE INFORMATION CALL ( 76O ) 324 - 451 1
CITY OF RANCHO MIRAGE
MAIL THIS FORM AND CHECK TO:
ATTN: Finance Division
Make checks payable to
69825 Highway 111
City of Rancho Mirage
Rancho Mirage, CA 9227O
DOG PARK DONATION
Request Form
Dog Bone Tag $1OO*
Contact Person: ___________________________________________________________________________________
Organization/Company: __________________________________________________________________________
Street Address: ____________________________________________________________________________________
City: ____________________________________________________________ State: _____ Zip: __________________
Phone: ___________________________________________________________Cell: ____________________________
E-mail: ____________________________________________________________________________________________
ENGRAVING INFORMATION:
EXAMPLES:
LINE 1: ( SELECT ONE )
In honor of
In memory of
Donated by
In recognition of
In memory of Fido.
He loved the
LINE 2: ( 2O CHARACTER LIMIT )
Dog Park.
O1/17
( i.e. Name of pet(s), person(s) or group being honored/remembered, etc. )
LINE 3: ( 2O CHARACTER LIMIT )
( i.e. Name of Donor(s), Donated by, etc. )
Donated by
The Friends
LINE 4: Donation Date ( Mo/Yr )
of Dog Club
O2/17
/
I understand that the item donated will be purchased by the City of Rancho Mirage
and will become City property. The City will order and install the donated item in the
approved location. The City will perform general maintenance and upkeep of the
In honor of Buddy
donated item until it is removed in fi ve (5) years after installation date. The City
– Adopted by
accepts no liability for damage to any donated item from vandals or third parties. The
The Smith Family
City reserves the right to remove any donated item that has been damaged beyond
O3/17
repair. Engraving with promotional messages and/or websites are prohibited.
*Donations are tax--deductible.
Signature: _______________________________________________________ Date: ____________________________
FOR MORE INFORMATION CALL ( 76O ) 324 - 451 1
CITY OF RANCHO MIRAGE
MAIL THIS FORM AND CHECK TO:
ATTN: Finance Division
Make checks payable to
69825 Highway 111
City of Rancho Mirage
Rancho Mirage, CA 9227O