Pet memorial submission form

Thank you so much for honoring the love between your patients and their family with your gift to BirchBark. We appreciate your partnership in upholding the bond between people and their pets.

When you submit this form and provide your client's email address, your client will immediately receive a notification about your gift. Please be sure to enter information exactly as you would like it to appear. If you use all-caps for pet, owner, or doctor names, those names will appear in all-caps in the notification letter.

Please ensure that addresses and client and pet names are spelled correctly. Thank you!

To submit more than one pet, click the “Submit another response” button after you submit the form.

You may submit your donation via mail (9029 Soquel Ave., Ste. F, Santa Cruz, CA 95062), online, or through PetVet.

We will not share your client's contact information with anyone and will not add them to our email distribution list.