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 address *
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)? *
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
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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? *
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
No
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.
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