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St. Francis Animal Sanctuary Custom Tag
Order Form
P.O. Box 677 * Abita Springs, LA * 70420 *
601.222.1927
INSTRUCTIONS FOR COMPLETING THIS FORM:
Please
PRINT
this form and fill it out completely and clearly. Please
MAIL
the completed form to the address above; include your check or complete
the credit card information below. Please allow up to 3 weeks for
delivery. Please use
ONE ORDER FORM PER SET
(you may pay for them together and mail them together).
Order your set of three (3) identical
tags for $21.00 plus $5.95 shipping/handling (includes brass connector
rings).
Indicate your choice:
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Large Heart (Red Only)
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Small Heart (Pink Only)
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Large Circle-Black
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Large Circle-Gold
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Small Circle-Black
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Small Circle-Gold
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Large Bone (Blue Only)
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Small Bone (Blue Only)
* Maximum of four (4) lines PER SIDE (both
sides can be engraved)
* Maximum of twelve(12) letters PER LINE
for Small Heart; maximum eighteen (18) letters
PER LINE for all other tags
FRONT:
BACK:
Total sets ordered:
#__________________Ship to:_____________________________________
x $21.00 per set:
$__________________ _____________________________________
S/H:
$5.95
_____________________________________
Total amount of order:
$__________________ _____________________________________
□
Check Enclosed
□
Charge my card: Type of card: (
)MC ( )VISA ( )AmEx
Name on card:
___________________________________________________________
Address as on stmt:
___________________________________________________________
___________________________________________________________
Card#:
___________________________________________________________
3-digit code on back of card
(MC/V):__________ or 4-digit code on front of card (Am/Ex):__________
Exp. ____________
Signature: _____________________________________________
Phone:____________________________Email:_________________________________________
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