MAIL ORDER FORM

If you would rather mail in your order and payment (instead of using our secure, online ordering) please:

1. Print this page & fill in your information
2. Fill in credit card information, or enclose a check (will be electronically debited) or money order for $7.45 per tag or $10.95 per Pet Medal, which includes tax & shipping.
3. Click on the tag (at left) that you would like to order. Select a size & color. Type in your engraving information. Then print the tag page.

Send both printed pages to:

PHS TAGS
Pasadena Humane Society & SPCA
361 S. Raymond Ave.
Pasadena, CA 91105

Check/cash attached

Visa/Mastercard/Amex/Discover

card # __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __

Exp. ___/___ Signature____________________________________

YOUR BILLING INFORMATION
Name: ________________________________________
Address: ______________________________________
              (NO PO BOXES)
City: ______________________ State ____ Zip _______
Phone: (home) _______________ (work) _____________

SHIPPING (IF DIFFERENT)
Name: ________________________________________
Address: ______________________________________
City: ______________________ State ____ Zip _______

Thank you! 100% goes directly to help animals in need at our shelter.