Survey - Request an AniPal - San Diego Humane Society

Request an AniPal

· Fill out the survey with the name and address of the recipient, including as much or as little personal information as you choose. For care facilities, you can request letters for your group or anonymous individuals to protect confidentiality.
· The recipient(s) will be matched with one of our volunteers who will write a letter introducing a special animal. Each letter will include a picture of the animal and a positive message.

1.

Please provide your contact information:


*	First Name: Required
*	Last Name: Required
*	Email: Required
	Yes, I would like to receive e-mail from San Diego Humane Society

2.

Question - Not Required - Recipient's name: (if left blank, letter will be addressed "Dear Friend")

*3.

Question - Required - Please enter the age of the AniPal recipient.

*4.

Question - Required - Please enter the full mailing address of the recipient here:

(Maximum response 255 chars, approx. 5 rows of text)

*5.

Question - Required - Select one:

I would like the letter to be written on behalf of an animal "...my name is Buddy the dog".

I would like the letter to be written from a person "...my name is Pat and I am writing to tell you about a special dog named Buddy".

6.

Question - Not Required - Anything you'd like your AniPal to know about the recipient of this letter?