Bereavement Certificate Form
Please fill out the following sections completely. We will custom print each certificate using the information you provide. The donor section should contain information about you. In the recipient section, please provide information about the individual you wish to give this certificate. Should you have questions regarding formatting or information placement, please see the Bereavement Certificates image or e-mail Heather Bowden.
Bereavement Certificates can be issued in any amount (over $5).
To add a listing to the Paw Prints On Our Hearts page, select the option below and enter the name and dates as you'd like them to appear. You may also add a short dedication. If you would like for your Paw Print to link to a picture, a longer story or an external URL, please contact Heather Bowden for more information. Your listing will stay on the page for one year. You may list any pet on the Paw Prints On Our Hearts page and if you prefer to list your pet without getting a certificate, please let us know in the comments section.
When your check or money order arrives we will ship your certificate.To pay by credit card, fill out and submit the order form to process your request. Then call 972-208-2470 between the hours of 8AM - 8PM CST to supply your credit card information.If you wish to pay by PayPal please complete and submit the order form to process your request. You can pay via PayPal on our PayPal Information Page.
If you wish to pay by check or money order, when your form is complete, please submit it (you may wish to print a copy for your records) and mail a copy, along with your check or money order, payable to LABMED, to:
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Last Updated: Fall 2015