ITA Baseball Card Order Form

Name of Handler: _______________________ (Include last name? Yes No )

Name of Animal: _______________________

Additional Information:Breed: _________________

Birthdate: ___________________

ITA Therapy Dog since (date started): ___________________

(For the following, use whichever categories are relevant to your partner.)

Favorite Toy: ______________________

Favorite Sport: _____________________

Favorite Activity: ______________________

Least Favorite Thing: ____________________

Talent: ____________________

Other: _________________

Quantity Desired (payment not due until delivery):

250 for $35 500 for $45

Send completed form to Kathy@therapyanimals.org Copy and paste into email message, or Attach this Word document

Attach Photo (good head shot, highest resolution possible) (Do NOT insert photo into this document)

See examples on following page.