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Leaves of Love Order Form
Choose Your Pet or Leaf Style
*
$15,000
-
Cast Cat with Custom Engraving
$15,000
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Cast Dog with Custom Engraving
$2,000
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Gold Leaf with Engraving
$1,500
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Silver Leaf with Engraving
$1,000
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Bronze Leaf with Engraving
First Line of Engraving
*
A maximum of 30 characters are allowed.
Second Line of Engraving
A maximum of 30 characters are allowed.
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
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