Pet Memorial Order Form

IMPORTANT: If you choose to have your pet's photograph placed on top you will need to email the photograph in a separate email to info@urnsbyheavenlydesigns.com Please include your name in the email so we can match it to the order form below.

* Required

Order #

Title DR MISS MR MRS MS

First Name *

Last Name *

Street Address

State

Zip Code

Daytime Phone Number

Email Address *

Memorial Information Pet's Name

Pet's Date of Birth

Date of Passing

Highest Award

Memorial Stain Color Light Medium Dark

Will you be emailing a photograph? Yes No

How did you hear about these urns? -- Please select -- TICA Website Blog Press Release Search Engine Cat Show Newsletter TICAU Online Advertisement Print Advertisement Other (Please type in Below)

Other

Cell Phone Number *

IMPORTANT: If you choose to include your cat's photograph you will need to email the photograph in a separate email to info@urnsbyheavenlydesigns.com

Photo Requirements: Please ensure the picture is the highest quality and resolution possible. If scanning, use at least 300dpi. If sending a digital photo, please do not compress, send full size original.

Urns by Heavenly Designs will start creating your memorial urn as soon as we have received notification from TICA that payment has been made in full.