Order Pet*iD Short Cut Home

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Pet-iD......... FAX 507-282-0027

Pet*iD WEB ORDER FORM - BILLING INFORMATION
First Name: Last Name:
Address:
 City  State  Zip
Home Phone: Work Phone:
E-Mail Address:
Credit Card Type: (Circle One)
Visa __ MasterCard __ Ducover __Am. Exp
_Exp.: mo.___ Year ______ Country __________________________________

_Card Number_ ____________________________________________________

Card Holder's Name as it appears on your card:

ORDER INFORMATION..................... For Block Orders : Call (507) 529-9595
Pet*iD Kits
Quantity
Price
..
.Pet-001_One Year Plan .
._____$9.95
..
Pet-007 Renew 1 year service Plan .
._______$9.95
.
Pet-005_Life Time Plan .
._______$49.95
.
Pet-002_Extra Pet Tags .
$6.00
.
S & H .
$3.00
.
. .
Total $
.

All orders are shipped within two working days
Pet*iD Short Cut Home       800-836-7383      ©2007-2008 All Rights Reserved