Help Us To Help Them
(Printable Donation Form)

I would like to be a supporting member

$35.00 Membership entitles me to receive the quarterly newsletter and notice of all activities.

$50.00 Membership entitles me to receive the quarterly newsletter, notice of all activities and a 25% discount on admission fees to programs offered.

$1000.00 Lifetime Membership entitles me to receive the quarterly newsletter, notice of all activities and a 25% discount on admission fees to programs offered.

I would like to be a Sammie Savior
Payment preference: 
                Monthly    Quarterly    Yearly

I would like to make an additional contribution of:
                $25.00     $50.00     $75.00      $100.00     
                Other_________

Yes, I would like to help in the following capacity:

General volunteer    Committee organization    Adoption committee
  Education committee   Membership  Transportation  
  Volunteer coordinator Event coordinator  Fundraising committee 
  Foster care  Foster liaison    Shelter liaison  Inventory clerk
  Advertising    Sales    Signage distribution    Artist    Other: ____________________________________________________________

Checks should be make payable to:
Northern Illinois Samoyed Assistance, Inc.

Name:_____________________________________________________

Address:___________________________________________________

City: __________________________St:________Zip:_______________

Telephone:__________________________________________________

Email: _____________________________________________________

Total amount enclosed: $_______________________________________

Thank you, with out your generous support,
we could not help all of the Samoyeds who need our assistance.

Mail to: 
Northern Illinois Samoyed Assistance
P.O. Box 218 - Arlington Heights, IL 60006-0218

Other Items Needed By NISA
 (Our Wish List)

Foster homes
Postage Stamps
New Homes For NISA's Precious FUR-KidzS
Grooming tables
6 or 8 ft. table for store demo's
Polaroid 600 Film for Sammie Paws Event
Small personal copier - greatly needed
Monetary donations of any amount
Indestructible toys for the FUR-Kidz
Rubber-backed throw rugs for crate bottoms
Pet store gift certificates
Volunteers to assist at events and fundraisers

You Can Also Help Out By
Purchasing NISA Merchandise

Click  Here to View the Merchandise 

Save a life

Adopt a Samoyed today!!