End-of-Year Giving Use this form to make an end-of-year gift to the Lycoming County SPCA. Name* First Last Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail A confirmation email will be sent to this email address.Donation Amounts*$100.00$250.00I want to make my gift in honor of:* My love of animals (you may recognize my gift) My companion animal (list pet's name below) I would like for my gift to remain anonymous Companion Animal's NameI want for my gift to be used towards:* Shelter operating costs Replenishing the Joyce Hershberger Emergency Medical Fund Other (please list below) I want for my gifts to be used towards:I want to offer a challenge or matching gift:*YesNoA challenge or matching gift matches other donor's giving amounts dollar-for-dollar up to a certain dollar amount to double or even triple overall giving amounts. Thank you for your interest in offering a challenge or matching gift! Our Development Director will be in contact with you.I want to make a planned gift for our shelter:*YesNoPlanned gifts are arranged in the present and allocated at a future date. They are commonly donated through a will or trust, and are most often granted once the donor has passed away.CommentsPayment will be collected on the next page.EmailThis field is for validation purposes and should be left unchanged.