DACHSHUND RESCUE & PLACEMENT ORDER FORM

NAME_________________________________________________

ADDRESS______________________________________________

CITY__________________________________________________

STATE_______________________ZIP CODE_________________

DAYTIME PHONE_______________________________________

EVENING PHONE________________________________________

E-MAIL ADDRESS_______________________________________

 
QTY.
DOG'S
WEIGHT
DOG'S
NECK SIZE*
DOG'S
CHEST SIZE*
 
COLOR**
 
PRICE EACH***
 
TOTAL****
             
             
             
             
             
         
SUB-TOTAL    
SHIPPING   $1.75
TOTAL DUE    
* See web page for "How to measure your dog"
** See web page for color selections
*** Small : $29.95   Medium : $29.95   Medium-Large : $29.95   Large : $29.95
**** Qty. times Price Each

Make checks payable to: Joy Brunn

Send, with completed order form to:
Joy Brunn
42029 62nd Street West
Lancaster, CA 93536
Please allow 4-6 weeks for delivery (Special fabrics will take longer).

(Note: Occasionally an item may be out of stock. Please e-mail to verify availability prior to ordering.)

ALL PROCEEDS GO TO THE RESCUED DACHSHUNDS