Argus Institute - Colorado State University

Memorial Plaque Form

Honor your beloved companion animal by adding a tribute to one of three memorial plaques on display at the Colorado State University Veterinary Teaching Hospital. These memorials serve as a lasting testimonial to the unconditional love, joy, spirit, and beauty that companion animals bring to our lives and hearts. For a $100 or more donation to the Argus Institute, a name plate will be engraved in the following format:

Pet's Name
Date of Birth - Date of Death
Tribute

Please print (maximum of 30 characters per line, including spaces).

Pet's Name ________________________________________________

Date of Birth Date of Death ____________________________________

Tribute ____________________________________________________

Circle one: Canine Feline Equine

Male Female

Please provide owner information so we may send an acknowledgment.

Name ____________________________________________________

Address __________________________________________________

City ______________________________________________________

State Zip _________________________________________________

Please print and complete this form. Return with payment to:

Argus Institute
Colorado State University
Veterinary Teaching Hospital
300 West Drake Road
Fort Collins, CO 80523

Contact the Argus office at (970) 297-4143 if you have questions or need additional information. Thank you for your generosity.