I am pleased to offer 3 Custom Collar Boxes per quarter. If you feel ready to honor your dear pet’s memory in this special way, please fill out this simple application and I will get right back to you.

Name

First Name

Last Name

Email Address

Pet's Name

What qualities made your pet so special?

To meaningfully illustrate you and your pet's unique story, please jot down a few special memories that can be incorporated into the box.

Any color preferences?

A space for anything else you would like to share: