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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. |
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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, address, phone #, fax #):
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Ship to:
(name &
address, inc. country code/zip code):
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| Product
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Description |
Quantity |
Total |
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Check #_______________ |
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Credit Card
TYPE:________________________
We accept Visa, Mastercard and American Express
| Name on card |
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| Credit Card # |
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| Expiration
date |
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| Signature |
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