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.