On-Line Order Form
Secure Transaction:


Select your options first !

        Select Material

 

 

            Select Shape

 

 

             Select Size

 

 

              Select Color

 

 

                                            Qty

required

 

 

Please enter your tag info into the boxes below

Pet #1

Pet's Name:

Pet's Phone #:

Owner's Name:

Street Address:

City State:

Pet #2

Pet's Name:

Pet's Phone #:

Owner's Name:

Street Address:

City State:

Pet #3

Pet's Name:

Pet's Phone #:

Owner's Name:

Street Address:

City State:

Pet #4

Pet's Name:

Pet's Phone #:

Owner's Name:

Street Address:

City State:

Pet #5

Pet's Name:

Pet's Phone #:

Owner's Name:

Street Address:

City State:

 

 If you have more than 5 pets enter info into the
"Comments" Box below  

    Comments:

 

 

Customer Billing Information
First Name:
Last Name:
Street Address:
 
City:
       State:
Zip/Postal:
Province:
Country
Telephone::
Email Address:

 

Shipping Address
(if different)
First Name:
Last Name:
Street Address:
City:
State
Province:
Zip/Postal:
Country

 The price of each Tag is $6.00
Free shipping

 

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Visa, Master Card, Amex, Discover

Secure Order Server

                                                   Credit  Card Type

                                                        Credit Card Number

                                                                           Exp. Date

 ( mmyy )