Pet Pilgrimage Crematory & Memorials 492 East Plaza Dr. | Mooresville NC 28115

Email: Care@PetPilgrimage.com | website: www.PetPilgrimage.com | Phone: 704.664.5484 | Fax: 704.664.4112

Presented By

Reservation FormPlease download and fill out this form, and return it with your payment to Pet Pilgrimage.

Please Note: Paper tickets WILL NOT be issued. You will simply sign in by name at the door the night of the event. You will receive an email confirming your reservation(s) with instructions on how to enter your pet

in the Pet Superlatives Contest.

Your $60/per person reservation includes: • Dinner • 1 drink ticket • 1 pet superlative photo entry and the opportunity to enter other fun contests and drawings_____________________________________________________________________________________________________________________________

________________________________________ _______________________________________FIRST NAME LAST NAME

________________________________________ _______________________________________EMAIL PHONE (Best number to contact you)

______________________________________________________ADDRESS

___________________________________________________________ _______ ___________CITY STATE ZIP

_____________________________________________________________________________________________________________________________

_________ Please indicate if you would like your dinner to be Vegetarian.

_________ Number of Reservations x $60 each = $ ____________ Total

If you cannot attend the event or would like to make a(n additional) donation, please enter the amount below.

_______ $15 _______ $25 ________$50 _______ $ Other Donation

Please enter the names of those who will be joining you so that we can make sure they are on our guest list. If you transfer any of your reservation(s) to another person please notify Pet Pilgrimage of the change of name on the reservation. If any of your guests would like their dinner to be vegetarian, please include this option beside each name below as it applies.

________________________________________ _______________________________________

________________________________________ _______________________________________

________________________________________ _______________________________________

________________________________________ _______________________________________

Please Choose your Method of Payment below:

By Check:Please make your check payable to: Pet Pilgrimage with FUR BALL noted on the Memo line of the check

By Credit Card:

_____ MASTERCARD ______ VISA ___________________ OTHER

________________________________________YOUR NAME AS IT APPEARS ON YOUR CARD

________________________________________ ____________ ___________CREDIT CARD NUMBER EXPIRATION DATE CVV CODE (found on back of card)

________________________________________ YOUR SIGNATURE

___________________________________________________________________________________BILLING ADDRESS (if defferent from previous page)

Mail Completed Form and your payment to:Pet Pilgrimage492 East Plaza DriveMooresville, NC 28115

We look forward to seeing you!

Reservation Form (continued)

Total of Reservation(s) $ _______ + Donation (if applicable) $ ________ = Total $ ________

Pet Pilgrimage Crematory & Memorials 492 East Plaza Dr. | Mooresville NC 28115

Email: Care@PetPilgrimage.com | website: www.PetPilgrimage.com | Phone: 704.664.5484 | Fax: 704.664.4112