
Ann Lepley
259 Elmcrest Ave.
Lakewood, N.Y. 14750
Please Print this form and mail it to me along with your payment.
|
Item |
Quantity |
Size |
Color/Print |
Price |
| Breed Of Dog : |
Subtotal |
|||
| Neck Measurement : |
|
|||
| Girth measurement (directly behind front legs): |
Shipping** |
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| Length (Base of neck to Base of tail): |
TOTAL |
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| Sex of Dog: Male Or Female (circle) | ||||
Price Range | **Shipping Cost |
|---|---|
$0.01 - $9.99 | $1.50 |
$10.00 - $15.00 | $2.95 |
$15.01 - $30.00 | $3.95 |
$30.01 - $70.00 | $6.95 |
$70.01+ | $10.50 |