PART A.

Your Name:
Address:
City/State/Zip:
Work phone: Home phone:
E-mail address: Required in case we have questions.

____________________________________________________

PART B.
Purchase calendars as gifts and we will send them
to your friends & loved one for you!

Gift Recipient's Name:
Address:
City/State/Zip:
Gift recipient's e-mail address:


____________________________________________________
Part C.

MAKE A SECURE PAYMENT HERE:
Calendars are a MINIMUM DONATION of $14.99 NOW $9.99!+ $4.99 for shipping and handling -
sent by postal mail. 

Payment method:
VISA   MC    AMEX    DISCOVER
Card number:
Expiration date:
Total # of calendars you are ordering:
$ amount for calendar(s) (min. $14.98 each):
(shipping and handling included)

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

Issues with purchasing?  We are happy to help!  Contact us here.

Thank you for purchasing this calendar and helping us to save more animals!
You will receive a confirmation within 3 business days.

You may also print this page to fill out and mail in with a check if you prefer.
If you choose to mail in your order, please send to:

Pasado's Safe Haven
P.O. Box 171
Sultan, WA 98294