Soft Coated Wheaten Terrier Colony Fund

Help improve the health of Soft Coated Wheaten Terriers.  Support Dr. Shelly Vaden's SCWT dog colony at the College of Veterinary Medicine at NC State University by pledging to adopt a colony dog.  By adopting a colony dog, you will help defray the cost of caring for them.  The NC Veterinary Medical Foundation, Inc. will administer our donations to SCWT Health.

I/We enclose  a tax deductible gift of $ _____ to adopt a Soft Coated Wheaten Terrier colony dog.

Check or Money Order Enclosed (  )

          Charge my: (  ) Visa (  ) MC     Name as appears on card:_________________________

                                                              Card #:___________________  Exp. Date: ___________

I/We pledge a tax deductible gift of $ _____ to adopt a Soft Coated Wheaten Terrier colony dog.

          I pledge this support for ________ year(s) as part of the
Wheaten/Wheagle Pledge Drive.

          Send reminders: Quarterly ___ Semi-Annually ___ Annually ___

          Date to receive first pledge reminder:  _____________________________________


____  My/Our Employer(s) will match my/our gift

             Company name: ___________________________________________________


Donor Name:_________________________________________________________

Address:_____________________________________________________________

City: _________________________________  State: __________ Zip: ____________

Telephone  (_____) ________________   (  ) Home (  ) Work    

Email:_______________________

Please make checks payable to:

         
NC Veterinary Medical Foundation, Inc.
          4700 Hillsborough Street
          Raleigh, NC  27606-1499
          Telephone:  (919) 513-6660
          FAX: (919) 513-6105

Please indicate in the memo section of your check that your check is for the:
                       
Wheaten/Wheagle Pledge Drive

The NC Veterinary Medical Foundation, Inc. is the foundation of the College of Veterinary Medicine at NC State University.To see photos of the Wheatens and Wheagles at the College of Veterinary Medicine at NC State University, go to:
http://www.geocities.com/wheagledog/WheaglesPhotos.html

(Revised 12/24/04)