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ORDER FORM

Name:
(Press the TAB button after each entry.)

Shipping address:

City:

State: Zip Code:

Area Code / Phone #:

Above items must be filled in to receive order.

Email address: (optional)

Calculator provided below.
Quantity Item # Inside Dimensions Price Total
U.S. Dollars
22 Rect. 22"L x 11"W x 7 1/2"H $141.00
28 Rect. 28"L x 12"W x 9 1/2"H $156.00
34 Rect. 34"L x 16"W x 11"H $189.00
40 Rect. 40"L x 18"W x 13"H $219.00
52 Rect. 52"L x 22"W x 15"H $336.00
18 Octagon 18"L x 18"W x 8"H $216.00
Cat Sleeping Urn 30 cubic inch volume $ 58.00
Dog Bone Urn 80 cubic inch volume $ 58.00
Add all of above and insert grand total below. Calculator provided.
Insert the two numbers first then press the function button to get the answer.

               =

Please insert total here.
Shipping Charges: Ground shipping is included, Continental U.S. only.
Call 1-800-567-7387 for overnight delivery charges.
Total of your order. Thank you.


CREDIT CARD INFORMATION

Name as appears on credit card:
Choose one: Mastercard        Visa
Credit Card Number:
Expiration Date:   Month:     Year:
AFTER printing, sign here:

Please print out your order and mail to the address below,
or fax to 1-419-354-8075. Thank you.

1135 North Main Street
PO Box 646
Bowling Green, OH 43402

Phone: 419-353-2007

1-800-567-PETS (7387)

Fax: 419-354-8075

Email: FaithfulFriend@wcnet.org