PART A.

All of the information in Part A. is required should we have a question regarding gift recipient information. We do NOT share or sell your information to anyone.

Your Name:
Address:
City/State/Zip:
Work phone: Home phone:
E-mail address:

If adopting more than one animal, you need only fill-out subsequent order forms with your name and the information in Part B only.
________________________________________________

PART B.

This adoption is a gift This adoption is for me!

MINIMUM PRICE $25 with full color photo, printed story, and personal greeting, sent by postal mail.

Date to be delivered by:

If gift adoption, is this for a special occasion? Pick one: CHOOSE ONE ValentinesDay Birthday MothersDay Birth of child Wedding FathersDay Graduation Anniversary Bat Mitzvah Bar Mitzvah Hanukah Christmas Thanksgiving

Gift Recipient's Name:

Address:

City/State/Zip:

Gift recipient's e-mail address:


Animal to adopt (pick one):

Dogs CHOOSE ONE Dasher Gypsy Brandy Colby Max

Cats CHOOSE ONE Halo Buster Pumpkin Ashley Minnie LittleBittyKitty Wendell Bella

Farm Animals CHOOSE ONE BarackOllama LittleAngel EddieCheddar Buford Daisy Babs Chester Bessie Cotton

Your special message to your gift recipient (limit 20 words)

____________________________________________________
Part C.

MAKE A SECURE PAYMENT HERE: Minimum- $25 per animal
Payment method:
VISA   MC    AMEX    DISCOVER
Card number:
Expiration date:
Amount for sponsorship of an animal (min. $25):

To send more gift adoptions:
-Submit a new form
-Fill in your name only and
-Fill in Part B.

Thank you for sponsoring a rescued animal!
You will receive a confirmation within 3 business days.