Form Center

2. Your voluntary donation will be added to your water bill each month or you may make a one-time cash donation by clicking the following link https://www.pasadenatx.gov/615/Donations

   Your donation is tax deductible (as provided in section 170 (c)(1) of the Internal Revenue Code).

   You may discontinue the monthly donation by requesting an “opt-out” form from Water Billing.

4. I pledge the following amount PER MONTH to be included in my utility bill:*

   1. $1.00
   2. $2.00

   1. $3.00
   2. $5.00

   1. $10.00
   2. $15.00

   1. $30.00
6. Account #:
7. First Name:*
8. Last Name:*
10. Daytime Phone #:*
11. Email Address:*

13. THANK YOU! The Animal Shelter greatly APPRECIATES your support!

Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field