Paws for Celebration! Order Form
Purchaser First Name:
Purchaser Last Name:
Purchaser Address:
Purchaser City:
Purchaser State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Purchaser Zip Code:
Purchaser Daytime Phone Number:
(xxx)-xxx-xxxx
Purchaser Evening Phone Number:
(xxx)-xxx-xxxx
Purchaser E-mail Address:
Student's First Name:
Student's Middle Name:
Student's Last Name:
Student's Residence Hall:
*(If On Campus)
Select a Residence Hall
Founders Hall
Governors Hall
Mills Hall
South Ridge
West Ridge
Governor's Village - Ashe
Governor's Village - Hoey
Governor's Village - Scott
Governor's Village - Moore
Student Does Not Live on Campus
Student's Room Number:
*(If On Campus)
Student's Phone Number:
(xxx)-xxx-xxxx
Student's E-mail Address:
What item would you like to purchase?
Select an Item
Cake - $18
Cookie Cake - $18
Fruit Basket - $18
What is the student celebrating?
Select an Occasion
Happy Birthday
Good Luck
Congratulations
Good Grades
Graduation
Just Thinking of You
Special Message:
**What date should the item be delivered?
mm/dd/yyyy
Do you need a receipt for your purchase?
Select Yes or No
Yes
No
*(Students living off campus will be contacted and asked to pick up their "surprise" in the Office of Admissions)*
**(We need at least 2 weeks notice. Delivery date cannot be guarenteed with less than 1 week notice)**
Check, cash or money order are accepted forms of payment.
Payment must be received before gift is delivered.
Please mail payment to:
Paws for Celebration
UNC Asheville
One University Heights
CPO #1320
Asheville, NC 28804
Proceeds to benefit the University Ambassadors program