| Order Sheet | ||||
| PetMedStore.Com | ||||
| Fax to 1-866-589-6128 | ||||
| Item Name | Quantity | Price | ||
| Sales Tax if order from CA | 8.25% | |||
| Preferred Shipping | Select One | |||
| USPS Ground ( 4-5 working days) | $4.95 | |||
| USPS Priority Mail ( 2-3 working days) | $7.50 | |||
| USPS Express Mail (next day air most cities) | $25.00 | |||
| International Shipping ( Canada / Mexico) | $25.00 | |||
| International Shipping ( All Other Countries) | $30.00 | |||
| Total | ||||
| Shipping Address: (In CAPITAL LETTERS) |
Billing
Address: (If Different) |
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| Name: | ||||
| Address: | ||||
| City: | ||||
| State, Zip Code: | ||||
| Phone No: | ||||
| Email Address: | ||||
| Credit Card Type: | ||||
| Card Number: | ||||
| Expiry Date: | ||||
| CVV no
for Visa/ Master card AMEX |
A last 3-digit number in
italics on the back of your credit card 4- Digits from front side of the card |
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| Comment: | ||||