|
*
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:
|
Email:
|
| Recipient Mailing Information |
Salutation:
|
* Full Name:
|
* Street Address:
|
* City:
|
* State:
|
* Zip Code:
|
Phone Number:
|
| Pick the Type of Certificate: |
Email:
|
Select between:
|
| Customization |
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. |
|
