Thanks for helping install pollinator habitat for Valentine's Day!
Use the form below to tell us where to send your Valentine card. If you bought more than one card, please fill out this form more than once. You will be prompted to complete again after finishing.
Sign in to Google to save your progress. Learn more
Your name *
Who are we sending a valentine card to? *
Should we send a physical card or a digital card? (Purchases made after 2/7 must choose the digital option) *
Where should we send the card? (Street Address or Email Address) *
If you want to add a personal message, please write it here:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northwest Center for Alternatives to Pesticides. Report Abuse