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Please print this page and fill it out.
Then fax or mail your order to us.
You can also call your order in
to us. Do not send your credit card #
via email.
PLEASE PRINT CLEARLY,
AS FAXED ORDERS ARE OFTEN DIFFICULT TO READ |
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Canine Specialty Store
P.O. Box 18215
Atlanta, Georgia 30316 |
Fax: 404-371-9283
Phone:
1-800-235-2094
(US only)
404-378-2203
(International) |
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Sold to:
Name _________________________________ |
Ship to:
(name &
address, include country code/zip code):
|
| Address
_______________________________ |
| City, State, Zip
__________________________ |
|
Phone # (required)
_______________________ |
| Fax # (if available)
_______________________ |
|
| Product
# |
Description |
Quantity |
Total |
|
|
Check #_______________ |
|
|
Credit Card
TYPE:________________________
We accept Visa, Mastercard and American Express
| Name on card |
|
| Credit Card # |
|
| Expiration
date |
|
| Signature |
|
| |
|
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We must have your
phone number in order to process your order.
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