Pet Collars And More                                                                         Mail Order Form
2124 B Belle Terra Rd.

Knoxville TN 37923
(865)216-7542
Email: pcamcart@hotmail.com

Buyer/Shipping Information:

Name:____________________________________                       Phone:____________________________________

Address:__________________________________                       Email:_____________________________________
                     
_________________________________________                        Pet's name/breed/weight ______________________

_________________________________________                        ___________________________________________
Coat Measurements if ordering a coat 1. Base of neck to base of tail.................__________ 

 2. Base of neck to end of ribs..................__________  3. Circumference point at end of ribs......._________________ 

  4. Circumference of neck.........................__________ 5.Complimenting reverse fabric ____________________
Quantity Product Name Product Description
fabric choice /  size
Cost of Single Item Total Cost (quantity x cost)

 
       

 
       

 
       

 
       

 
       
 
 
 
 
     

 
       

 
     Sub Total  
  Shipping Charges (See Chart Below)

 
    TN Residents must add 9.25% Sales Tax:  

*International Orders Must call for shipping quote before mailing in your order
Complete Total:

Method of Payment:
     ___Master Card  ___VISA ___ AMEX ___ Discover  


Name on Card: _______________________________________

Credit Card Number________ _______  _______ _______ 

Expiration Date:     _____/______  

Signature: ____________________________________________
 
USPS  Shipping
(Shipped in 3-5 business days)

$0.00-$9.99...........       $4.95
$10.00 - $49.99..........   $5.95
$50.00 - $99.99........      $6.95
$100.00 - $199.99........   $7.95
$200.00 and up........      $8.95



 
How did you hear about us? _____________________________________________

If you need more room, use the back of this form