To order, please print this page and mail
to:
Pasadena
Humane Society & SPCA
Attn: Development Department
361 South Raymond Avenue
Pasadena, California 91105
Questions? Call 626-792-7151 or email : kympietsch@phsspca.org
Note: Minimum donation for a Gift Card is $25
YOUR Name:
________________________________________
Address: ___________________________________________
City: __________________________ State
____ Zip _________
Phone: (home) __________________ (work)
_________________
How would you like your name to appear on the Gift Card:
_____________________________________________
RECIPIENT'S Name: ___________________________________
Address: ___________________________________________
City: ______________________ State
____ Zip _________
Is this... a tribute for a 
person or a pet?
in honor of a
person or a pet?
in memory of a
person or a pet?
Name of person or pet as you wish it
to appear on the Gift Card:
_____________________________________________
My check is enclosed for $_______ (made
payable to Pasadena Humane Society)
Please bill $________ to my:
Visa Mastercard
Amex
Discover
Card # ____________________________________
Expires ______ /_____
3 digit verification code found
on back of card: __ __ __
________________________________________
Signature - required for all credit
card charges
Thank you! You will also receive a letter for receipt/tax purposes.