Virtual Valentine Order Form
Have a message you would like to send a friend or loved one? Your donation allows you to say it with a seal or sea lion! Prior to filling out this form, please submit your $40.00 to https://www.paypal.com/paypalme/OceanConnectionsUS. Thank you for your support!
Name
*
First Name
Last Name
Email
*
example@example.com
Choose Your Animal:
*
Please Select
No Preference
Cocoa
Cobh
Cruz
Dash
Diego
Grommet
Harper
Lovell
Moana
Reese
Ripley
Satara
Scooter
Smoky
Talise
Toby
Occasion:
*
Anniversary
Birthday
Easter
Father's Day
Get Well Soon
Mother's Day
Valentine's Day
Other
Your Message (Including Name Pronunciation):
*
By checking this box I certify that:
I understand I will not receive my Virtual Valentine until payment has been received on PayPal.
Submit
Should be Empty: