Your InformationName* First Last Email* PhoneOnly used to contact you if email communication is not workingAddress* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I would like the finished gowns* returned to me (up to 12 gowns, dependent on the size of dress) NOT returned to me Clean and Smoke Free Dress* My dress is clean (without multiple stains) and smoke free. I understand that if my dress is not in good condition (smoke free and without multiple stains), it may not be usable for the Angel Gowns Project. Liability Agreement* I understand that the dress(es) I supply to Real Imprints, LLC, will be cut and sewn into smaller Angel Gowns. I agree that I will not hold Real Imprints, LLC, The Angel Gowns Project, or any seamstress involved in the project liable for damage, loss, or other problems with the dress(es) I am providing. Your DonationSelect Your Donation Amount:*We request a minimum $100 donation per gown. $100 donation Other Donation Other Amount HiddenOther Amount TotalCoupon Make my donation go further. Please increase my gift by 3% to help cover transaction fees. Yes, I would like to donate an additional 3% to cover the credit card transaction fee. Processing Fee Donation Amount Price: $0.00 Processing Fee Donation Amount Price: $0.00 Total $0.00 Payment InformationPayment Method* PayPal Credit Card When you click the submit button you will be directed to PayPal to complete your purchase. Secured with 128-bit encryption.Credit CardCard Details Cardholder Name Δ