Gift Information

Donation Amount*
  • $50
  • $100
  • $150
  • $200
  • Other $
Total # of Bears Ordered*
First Names as you would like them to appear on bear(s). One name per bear. For multiple bears, please separate with commas and add what color thread you would like to use. Unless otherwise requested, brown thread will be used.
Teddy Bear(s) for (please include name & address of recipient):

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Mailing List

Would you like to be added to our mailing list?

Mailing List Preference*
  • General Mailings
  • Children's Park Email
  • Volunteer Email
  • No Contact (mail or Email)

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code