Secure Form

* = required field to finalize but complete information is appreciated. Thank you!

Recipient's Information
*Recipient's Name(s):
Street Address:


State: Zip:
*Recipient's Phone:
*Email Address:
Dog's Name (if applicable):

Please enter any additional information below. For example, is this for
general use at Lucky Dog or is it for a specific class, event, or membership?
You can also list a specific greeting that will go on the letter accompanying the certificate (if sent from us to the recipient).

Gift Giver's Information
*Gift Giver's Name(s):
Street Address:


State: Zip:
* Phone:
*Email Address:
Do you want the gift certificate mailed or emailed?
Mailed       E-Mailed
Whom would you like it sent to? Giver      Recipient
How did you hear about us?
If Friend, Veterinarian or Other please specify
Payment Details
Please fill out all information completely and carefully. Note: This is a secure site for payment information.
*Gift Amount: $
Payment Method: Cash Check Credit Card (Fill in below)
Card Number: no spaces or dashes
Expiration: mmyy
Name on Card:
Billing Address:
( if different from gift giver's address above)


State: Zip:
I authorize Lucky Dog Sports Club to charge my credit card.
Please enter your initials (if paying by credit card)