* Required
Honor Certificate Order Form
Honor a cocker spaniel lover in your life. Need to celebrate a special event, send a special thank you, or would like to memorialize a special person or pet?
Order a Cocker Spaniel Adoption Center's Honor Certificate. See our web site for examples.

The person you are honoring will receive a 5.5" x 8.5" color, certificate printed on parchment paper.

Please scroll down to answer all questions before clicking "CONTINUE".
Your Information
* Name:
* Phone Number:
Recipient Mailing Information

* Full Name:
* Street Address:
* City:
* State:
* Zip Code:
Phone Number:
Pick the Type of Certificate:
Select between:

If you selected "Celebrate", what is the occasion you are celebrating (i.e. Birthday, Gotcha Day, Anniversary, Retirement, etc.):
If you selected "Memorial | Thank You", please select:
* Signature: How would you like to sign the certificate? From:
Name of Honoree
* Name (as it should appear on the certificate):
Please indicate:

* Donation Amount:
 Number, no commas or symbols
* Date:
Method of Payment:

If you have a PayPal account, PayPal payments can be sent to: [email protected]
All other credit card users can go back to the web site and submit your payment by clicking the "DONATE NOW" link or visit our Donation page.

Mail checks to:
Cocker Spaniel Adoption Center
PO Box 1704
Westminster, MD 21158-5704.
Please write "Certificate Donation" on the "For" line of your check.
Once we have received your donation, a certificate will be sent to the Honoree.

Thank you for supporting Cocker Spaniel Adoption Center. The pups are grateful.
Please click the "Continue" button below to submit your order. Thank you.
RescueConnection Software