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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".
STEP 1 : Person Ordering the Honor Certificate : Your Information
*
Your Name:
Name, please.
*
Your Phone Number:
Phone number, please
Your Email:
STEP 2 : Person Receiving the Certificate - Mailing Information
*
Full Name of the person receiving the certificate :
Full name, please.
*
Street Address of the person receiving the certificate :
Street address, please.
*
City of the person receiving the certificate :
City, please.
*
State of the person receiving the certificate :
State, please.
*
Zip Code of the person receiving the certificate :
Zip code, please.
Phone Number of the person receiving the certificate :
Email of the person receiving the certificate :
STEP 3 : Pick the Type of Certificate:
Select between:
Celebrate
Memorial | Thank You
Christmas
Hanukkah
STEP 4 : 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:
In Loving Memory
Thank You
*
Your Signature : How would you like to sign the certificate? From:
Signature, please.
STEP 5 : Name of Honoree - This Certificate is in Honor of :
*
Name (as it should appear on the certificate):
Name of honoree, please.
Max. 100 chars.
You have exceeded the maximum character count (100).
Please indicate if the honoree is a :
Person
Pet
*
Donation Amount:
No commas or symbols
Donation amount, please.
Please enter a valid positive currency amount (no commas or symbols except decimal)
*
Date:
Required!
STEP 6 : Method of Payment:
Check
PayPal
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 "Submit" button below to submit your order. Thank you.
Please wait while your information is saved.