Cloud K9 ® Order Form

CALL: MAIL:
1-314-842-7521     Cloud K9®         MASTERCARD and VISA Accepted
... Order Dept., PO Box 22461       For Credit Card Orders: Please Use Online Shopping Cart or Call Us
... St. Louis, MO 63126 USA       Sales to USA Only

1) Print Out Order Form     2) Fill It Out     3) MAIL to Address / or CALL Phone Number Above

___Check     ___Money Order     Checks & Money Orders in US FUNDS Only

Name__________________________________________________

Address________________________________________________

City______________________ State_____________ ZIP_________

Daytime Phone # (required)__________________________________
Item Description Quantity Price Total
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____________________________ ____________ ____________ ____________
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*U.S. Shipping Rates* *Subtotal* ____________
Order:                    Add: Missouri residents add 6.925% Sales Tax ____________
Up to $14.99           $4.95 Shipping rates based on *Subtotal* (not including sales tax) (rates shown on the left) ____________
$15.00 - $29.99       $6.95 TOTAL ____________
$30.00 - $49.99       $7.95
$50.00 - $74.99       $8.95
$75.00 or more       $10.95

      Note: Checks are held for at least 10 Business Days before orders are sent.
      Prices subject to change without notice.
Home website: www.cloudk9.com