PET CELEBRATION TREE ORDER FORM

Name: ____________________________________________
Address:
__________________________City_________________State________________Zip________
Phone: ________________________Email:____________________________________

# __________of Ornaments x$5=$_____________

#___________ of Ornaments with acknowledgment x$7=$_______________
Total $ amount enclosed $_______________
Pets Name

Type of Pet

Memory/Ho
nor

Picture
Yes/No

Picture Returned
Yes/No

Pictures can be picked up on Saturday, December 31st between 10 a.m.

11 a.m.
Please send acknowledgement of my gift to:
Name:
Name:
Address:
Address:
City,St.Zip:
City,St. Zip:
Pets Name
Pets Name
Need more room? Attach an extra page.
Mail form to: RABAS PO Box 421 Prairie du Chien, WI 53821 or drop it off
at Curves or Nelson True Value in Blackhawk Junction.