Memorial/Honoring Donation Form

Thank you for making a Memorial/Honoring Donation to Recycled Rotts. Please complete the following form and click on the “submit” button below.

Name (Required)

Address

City, State, Zip

Email Address (Required)

Home Phone

People/Pet(s) being Memorialized/Honored

Please choose one for the first person/pet.  Memorial Honoring

Who are you memorializing/honoring?  Pet Person

Name

If you are memorializing a pet, then please tell us approximate age

Please tell us when this pet passed away

Please send an acknowledgement of this gift to:

Name

Address

City, State, Zip

If you are finished, please go to the bottom "submit" button and click.
If you will like to make another Memorial/Honoring with this coupon, please continue.

Please choose one for the second person/pet.  Memorial Honoring

Who are you memorializing/honoring?  Pet Person

Name

If you are memorializing a pet, then please tell us approximate age

Please tell us when this pet passed away

Please send an acknowledgement of this gift to:

Name

Address

City, State, Zip

If there are more than 2 people/pets that you would like to memorialize/honor,
than please contact us at: Our Contact Page

Recycled Rotts Inc.
PO Box 1082, Oswego, IL 60543

If you were unable to submit this form, but was able to submit the PayPal donation for your Memorial/Honoring, then please contact us at Our Contact Page with the above information included in the feedback portion.