Phoenix Bears Gift Voucher

This form is for friends and family to order a Phoenix Bears Gift Voucher for their loved one who has lost a baby. A Gift Voucher costs $55 (includes shipping to recipient via USPS Priority Small Flat Rate Box, required waitlist fee, embroidery for belly patch & blanket personalization, & angel wings). The Gift Voucher will be sent to the recipient at the name and address provided on this form. The recipient will be able to redeem their Gift Voucher for a personalized Phoenix Bear custom weighted to their angel baby’s weight!

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I understand that this gift voucher is non-refundable and will not be replaced if lost or damaged

Your Name

Your Email Address

Confirm Email Address

Recipient's Name *

Shipping Address *Address the voucher will be shipped to

City *

State *

ZIP Code *

Angel Baby's Name

Gift Voucher *Yes ($55)Includes shipping, Christmas stocking, waitlist fee, embroidery, & angel wings

Additional Informationyou can use this space to enter anything you would like us to know

Would you like to donate to Phoenix Bears?SELECT OPTIONNo thank youYes, I'll Donate $25Yes, I'll Donate $50Yes, I'll Donate $75Yes, I'll Donate $100Yes, I'll Donate $150Yes, I'll Donate $200Phoenix Bears is run solely on donations. Any donated amount over the expense of your custom bear will be donated to the next bereaved parent on the waitlist.

How did you find out about Phoenix Bears?

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Keep me updated with Phoenix Bears News!I'd like to learn more about Volunteer Opportunities

Total Charge

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Discount

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Applied 15% discount

Discount Code

Total After Discount

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Discount

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Applied 10% discount

Total After Discount

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Note: Please fill in all the required (*) fields - once you do, the "Pay" button will appear below.

Calculations

DiscountFree Embroidery $7

Total After Discount

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