To Order Factory Direct: Toll-free (877) 766-3900

Call us at the toll-free number above for special orders
or for information on installation.
We'll be happy to answer any questions.

   

 
BILLING INFORMATION
  First Name        Last Name 
  Address 
  City 
  State 
  Zip 
  Day Phone      Evening Phone 
  E-mail 
  Payment Type (choose one) 
  Credit Card #    Expiration Date 

  Shipping Method
 
 
SHIPPING INFORMATION
  First Name        Last Name 
  Address 
  City 
  State       Zip 
 

EXTRA TAGS
  Small (pets up to 15 pounds)    $12.50 each - Quantity: 
  Medium (pets 15 pounds to 50 pounds)    $12.50 each - Quantity: 
  Large (pets 50 pounds & up)    $12.50 each - Quantity: 
 

SHIPPING AND HANDLING: $7.50 to $12.50, depending on location.

    

IMPORTANT: Print a copy of this form for your records and check each item for accuracy before clicking on "Submit" below.