Please create separate forms for each person.

Thank you for supporting PAALS with our PAALentine fundraiser!

Choose your PAALentine from the options below:

Dog with Rose - DYNAMIC EMAIL

$5 - A dynamic EMAIL with this ROSE theme sent dog with rose

on your behalf.

*** To better guarantee delivery by Valentine's Day, we ask that you submit your E-PAALentine requests by noon February 14th.

Box of Sweets - DYNAMIC EMAIL

$5 - A dynamic EMAIL on with this Box of Sweets sent on your behalf box of sweet dogs

*** To better guarantee delivery by Valentine's Day, we ask that you submit your E-PAALentine requests by noon February 14th.

CUSTOM CARD SENT US MAIL

$8 - We'll send your valentine a CARD on your behalf mock up palestine card

*** To better guarantee delivery by Valentine's Day, we ask that you submit your PAALentine card requests by February 9th. (Please keep in mind that we are dealing with USPS.)

CUSTOM CARD WITH DOG TAG INCLUDED - SENT US MAIL

$15 - We'll send your valentine a CARD and a DOG TAG on your behalf card_with_dogtag

*** To better guarantee delivery by Valentine's Day, we ask that you submit your PAALentine card requests by February 9th. (Please keep in mind that we are dealing with USPS.)

TOTAL AMOUNT SELECTED ABOVE: (You may add additional funds to the above as a donation to help support PAALS.)

Total Amount

.00

Your CONTACT Information

First Name

Last Name

Email Address

Phone (For questions if needed.)

PAALENTINE INFO

Address PAALentine to:

Who should we say the PAALentine is from?

Recipient's Email

Address Line 1

City

State

Postal Code

Would you like to include a short message?

Payment

Credit Card Information

Type of Credit Card

Master Card / VisaAmerican ExpressOther

Name on Card

Card Number

CVV Code

Am Ex CVV is on FRONT of Card

CVV Code for Connector

Billing Address

City

State

Zip Code

Country

Do we need to know any more information?

Edit this text

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