[FORM] Donation in Honor of Dr. Kim

Dr. Miyo Kim provided Maui Humane Society 25 years of incredibly hard work, dedication, and lifesaving efforts. As a token of appreciation for Dr. Kim's service, you can donate in honor of her. Please include a message that you would like to be given to her.

Your Name
First Last
Email
Personalized Message to Dr. Kim
Donation Amount*
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address (if different from Billing Address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(So we know where to send your donation acknowledgment letter!)