
Our KENNEL CLUB BOOK PUGGLE BOOK $14.95
Name: _____________________________________________________
Address:___________________________________________________
City____________________________ State_______Zip_____________
Phone:____________________________________
Email Address:_______________________________________________
Item description______________________________________________
Quantity: ________at $________ per item
Shipping:___($5.55 per Book)_________________________________
Tax (if in CA):___________________________________________
TOTAL Enclosed: ____________________________________________
Payment Method:
Please check one:
Check or Money order: ________Visa_______Mastercard________
(5 day hold will be placed on personal checks)
Credit Card Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Exp. Date: ______
3 digit code on back of card_________4 digit if Amex__________
Name as appears on Card_________________________________________
Signature of Cardholder:_______________________________________
Please mail proper payment with a copy of this form to my temporary mailing:
DesignerDoggies.com
C/O CHELLE ROHDE
***PLEASE EMAIL FOR CURRENT MAILING ADDRESS***
Petaluma, CA 94954
Checks can be made payable to: DesignerDoggies.com
Thank you for your order!!
Please allow 7 days for shipping from date order is received and payment has cleared.