DHA Item Order Form

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DHA Item Order Form

Thank you for your interest in ordering select items from DHA! We are now accepting orders on select items to be picked-up in person, or shipped to you! Once submitted, we will contact you to process payment and/or schedule pick-up. Please be sure to complete this form to temporarily reserve your item(s) as we often have limited quantities!

For more information or to make a monetary donation, please visit our website at delawarehumane.org.

Email *

Full Name *

Address - #, Street *

Address - City, State, Zip Code *

Phone Number *

Which DHA center are you closest to (pick up is only available in Wilmington at this time)? *

DHA Wilmington

DHA Rehoboth (not currently a pick-up location)

I am able to drive to either (Wilmington only at this time)

How did you learn about Delaware Humane Association (if you are associated with DHA personnel, please indicate "DHA - person's name")? *

What items are you interested in and how many of each item? *

N/A

Champ & Major: First Dogs Book ($17.99)

DHA Face Mask, blue ($12)

DHA Face Mask, black ($12)

DHA Car Magnet ($5)

DHA Drawstring Bag ($10)

Are you looking to pick up your item(s) in person OR have it/them shipped to you? *

Pick up in person at DHA Wilmington (701 A Street, Wilmington, DE)

Have book shipped to address listed at beginning of form

Have book shipped to another address (MUST FILL OUT NEXT QUESTION)

If requesting item(s) be shipped to another address, please be sure to indicate the proper address here:

I understand/agree to the following: *

Yes

N/A

I am aware I must pick up my item(s) within 1 week of scheduling or I may not be guaranteed a book.

If picking up, I am aware I must pay upon pick-up.

I understand I will not receive my item(s) until I've been contacted to submit payment.

A copy of your responses will be emailed to the address you provided.

Submit

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