Day Planner Order Form

To Order a Day Planner by mail:

Print out this form or send this information with a check or money order payable to The Humane Society of Pulaski County. Do not send cash.
Price per book $25.00
Postage per book $ 5.00
Holiday gift wrap per book $ 1.00
 
No. ordered _____X $25 = __________
No. to be mailed _____X $ 5 = __________
No. gift wrapped _____X $ 1 = __________
TOTAL = __________

Send form and payment to: HSPC Day Planner Sales
Suzanne Hamilton
One Glenleigh Drive
Little Rock, AR 72227

If you have questions, email info@warmhearts.org

Purchaser's Name___________________________________________

Street Address_____________________________________________

City_________________________State___________Zip___________

Telephone Number__________________________________________

IF A GIFT, MAIL TO:
Name_____________________________________________________

Street Address_____________________________________________

City________________________State____________Zip___________

Gift Card Message:

_________________________________________________________

_________________________________________________________

_________________________________________________________

If more than one gift is to be mailed, please fill out only the gift info on a separate form to avoid confusion.

Thank you for supporting this project! If you would like to be incuded in next year's day planner, please sign here:
                                             __________________________________________