Dog Breed Cursor Set Order Form

Print this out on your printer, fill it in and mail w/your check or money order to:
Karen Pickel
723 11th Ave.
Belle Fourche, SD 57717

Customer info:

Name:_________________________________________________

Shipping Address:________________________________________

City:__________________________________________________

State:_________ Zip:__________ Cntry:_______________ Date:________

Phone:(___)_________________EMail______________________

Item #
Breed & Color choice (if any)

Price Ea

QTY
Total
# _______________________________

$4.99
______
 $ _________
# _______________________________

$4.99
______
 $ _________
# _______________________________

$4.99
______
 $ _________
# _______________________________

$4.99
______
 $ _________
Shipping:
E-Mail - FREE
CDs: (NOTE: CD will not work properly with Vista)
USA - flat rate of $2.00
CANADA/FOREIGN - flat rate of $3.50
$  _________
----Total Order Amount----
$  _________

 

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