Pura Vida - Alternative Gift order form

Order by Mail - Alternative Gift Card

Please print and fill out this form. Then mail it with your donation to the address below.

Amount Donated :	________________________________
($25/card suggested)	[ Make checks payable to Pura Vida ]

Circle desired card:

#1: Christmas Milk

#2: Scholarship Fund

#3: John Wesley School

SEND GIFT TO:


Recipient Name:	________________________________________
	first / last

Recipient Address:	________________________________________
	address

	________________________________________
	city / state / zip

Or, you may instead mail them yourself (if ordering 4 of more cards):

Please send _____ cards to the address below so that I may personalize them.

GIFT SENT BY :


Sender Name:	________________________________________
	first / last

Sender Address:	________________________________________
	address

	________________________________________
	city / state / zip

	________________________________________
	email address (for order confirmation)

NOTE: For Christmas Milk card orders this form must be received by December 15th in order for the card to be sent in time for Christmas.

Please mail to: Pura Vida / PO Box 16460 / Golden, CO 80402

Pura Vida Ministries is a non-profit corporation organized under Section 501(c)(3) of the Internal Revenue Code. Your donations are tax-deductible to the extent allowed by law.

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