|
Your
Information |
| My
Name: |
|
| Business
Name: |
|
| Mailing
Address: |
|
| Billing
Address: |
|
| City: |
|
| State: |
|
| Zip
Code: |
|
| Phone: |
xxx-xxx-xxxx |
| Email
Address: |
|
| Comments: |
|
|
|
|
Your
Pet Information |
| First
Photo - Pet's
Name: |
|
| Type
of Pet: |
|
| Adopted
from WHS? Y/N |
a special symbol will indicate pets adopted
from WHS |
| 1st
Pet Living or Deceased? |
a special
symbol will mark those pets who have passed |
| 1st
Pet Photo
Filename: |
send to calendar@woodfordhumane.org |
| Size
of Space Purchased: |
|
|
| Second
Photo - Pet's
Name: |
|
| Type
of Pet: |
|
| Adopted
from WHS? Y/N |
a special symbol will indicate pets adopted
from WHS |
| Pet
2 Living or Deceased? |
a special
symbol will mark those pets who have passed |
| Pet
2 Photo
Filename: |
send to calendar@woodfordhumane.org |
| Size
of Space Purchased: |
|
|
| Third
Photo - Pet's
Name: |
|
| Type
of Pet: |
|
| Adopted
from WHS? Y/N |
a special symbol will indicate pets adopted
from WHS |
| Pet
3 Living or Deceased? |
a special
symbol will mark those pets who have passed |
| Pet
3 Photo
Filename: |
send to calendar@woodfordhumane.org |
| Size
of Space Purchased: |
|
|
| Fourth
Photo -
Pet's
Name: |
|
| Type
of Pet: |
|
| Adopted
from WHS? Y/N |
a special symbol will indicate pets adopted
from WHS |
| Pet
3 Living or Deceased? |
a special
symbol will mark those pets who have passed |
| Pet
3 Photo
Filename: |
send to calendar@woodfordhumane.org |
| Size
of Space Purchased: |
|
|
|
If
you prefer to download a submission contract that
you can mail in with your photos, click
here
If
you have more than one pet in the same photo, please
identify them from left to right. Thank you! |
|
|
|
Billing Information |
| Method
of Payment: |
 |
| Credit
Card Number: |
|
| Security
Code: |
3 digit code (rightmost) on
back of card |
| Expiration
Date: |
Month
|
Year
|
| Cardholder
Name: |
|
|
|