Gift Certificate Order Form -
For a Custom Painted Portrait of a Pet From a Photo.
Patty Donathan
PO Box 165   Aguanga, CA 92536
petrockpainter@aol.com
petarock.com
Gift Certificates are available for 1 pet on a rock in 3 different size / price ranges. Please select the price/size from the list below.
Where will the rock be mailed?
City
State
Zip Code
Who will the gift certificate (not the rock) be mailed to and to where?
Mailing Address
City
State
Zip Code
What names do you want me to put on the Gift Certificate?
To
From
What is your name and e-mail address?
First name
Last name
Above persons name
Your e-mail address
Please double check your email address for errors. Don't forget the @ part. I will only get an email from my website with the form, it won't have the usual return email address. I won't be able to contact you if you don't fill in the correct email address!

I'll check shipping rates and email you back with the total price of rock and shipping combined. As soon as I receive your payment, I'll mail the Gift Certificate.

Click the Submit button below when you are ready. If you made a mistake and need to start over, use the Reset button to clear the form.

Some items have to be filled out, or the form won't submit. If you have problems, check to see if all important information is filled out.
Click button to send form to me
Warning this button will clear the form.
City, State and Zip Code needed to check shipping rates.  I will get the  street address from them later for shipping the rock.
Shipping within United States only!
Back to Gift Certificate Information Page
$75 for a 4-9 lb rock
$85 for a 10-14 lb rock
$95 for a 15-19 lb rock
Myself
To the person the rock will be mailed to
Same address as above for shipping gift certificate
Different address - city, state and zip below
Leave Blank - I'll fill it out
Please write the To and From names below