Pet Paws Registration Form

Page 1

PET PAWS 2013 REGISTRATION FORM Supporting Pet Helpers & the Charleston Animal Society Please Circle Primary Contact Person and Contact Number Below Owner’s: __________________________ ________________ and/or _______________________________ Family Name Owner’s First (w/Title) Spouse’s First (w/Title) Home Address: ____________________________________________________________________________ City/State/Zip: ____________________________________________________________________________ Home Phone:___________________Her Work Phone:______________________ Her Cell:________________________ Other Phone:___________________His Work Phone:_______________________His Cell:________________________ Email Addresses: Hers:___________________________________His:_________________________________________ Referred By: _______________________________________________________________________________________ Pet’s Name:_____________________________Age:______ Breed:__________Color______ Pg. Size_____Pg. $ _______ Pet’s Name:_____________________________Age:______ Breed:__________Color______ Pg. Size_____Pg. $ _______ Pet’s Name:_____________________________Age:______ Breed:__________Color______ Pg. Size_____Pg. $ _______

All participants make a donation of $65 to the charities via “Pet Paws of Charleston”. In return each participant will receive one full page in the book and the photo shoot donated by signature photography (a $95 Value). Families may then purchase additional pages in the book for additional pets.

1 Page, 1 Pet

1.5 Pages, 2 Pets

+

$65 Donation

$65 Donation +$50 = $115

2 Pages, 2 Pets

2 Pages, 3 Pets

+

+

$65 Donation +$75 = $140

$65 Donation +$100 = $165

Additional sizes and Prizes are 2 Full Pages with a $65 Donation +$50+$50+$35=$200 Total

My donation for $65.00 for one pet, made out to the “Pet Paws of Charleston” Fund is enclosed. I understand that I will be called to set up the Photo Session appointment and understand the terms stated in the “Just the Facts” document published on the “http://PetPaws.SignaturePhotography.biz ” Website. Owner’s Signature: _____________________________________ Date:_______________________________ Please make your donation payable to “Pet Paws of Charleston” and send it with this signed form to “Pet Paws of Charleston”, c/o Signature Photography, 320 East Bay Street, Suite C, Charleston, SC 29401. Credit Card Information: Type: ____________ Card Number: _______________________________________ Security Code: _________ EXP: _________ Name as on Card: _______________________________________ Billing Address of Card: Number & Street _______________________________________________________ City: _______________________________State: _______________________________Zip: ______________

Questions? Please call the Studio: 843-300-3333 Website Information: http://PetPaws.SignaturePhotography.biz


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