Order by Mail - Alternative Christmas Gift
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 ]
SEND GIFT TO:
  
Recipient Name:________________________________________
 first / last
  
Recipient Address:________________________________________
 address line 1
  
 ________________________________________
 address line 2
  
 ________________________________________
 city / state / zip

Or, you may instead mail them yourself (if ordering 5 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 line 1
  
 ________________________________________
 address line 2
  
 ________________________________________
 city / state / zip

Please mail to:

Pura Vida
PO Box 16460
Golden, CO 80402

NOTE: This form must be received by December 15, 2009 in order for a gift card to be sent in time for Christmas.

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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