WOOF AND WAG LLC FAX ORDER FORM

                                                        PO Box 287385

                                                        New York, NY 10128-0024

                                www.woofandwag.com

                                info@woofandwag.com

                                                         FAX:  917-492-7164

SHIP TO	BILL TO (if different from shipping)
Name:__________________________________   Address:________________________________   City:__________________________________   State:_____________________  Zip:_________   Phone:____________________________   Email:________________________________   ORDER DATE:	Name:__________________________________   Address:________________________________   City:__________________________________   State:_____________________  Zip:_________   Phone:____________________________   Email:________________________________

ITEM	DESCRIPTION	SIZE	COLOR	QTY	UNIT PRICE	TOTAL

 

Merchandise Total
Shipping will be added to order:  Please see shipping rates under our store policies on www.woofandwag.com
Tax:  For Nevada add 7.5% and NY 8.375% (Nevada and New York only)

CREDIT CARD PAYMENT:  We accept Visa, MasterCard, Amex & Discover   Card Type:  _____Visa  _____ MasterCard  _____Amex  _____Discover   Credit Card#:___________________________________ 4 digit Exp. Date:____________  3 digit security code___________ (Amex has 4 digits)   Name(on card):____________________________________   Signature:______________________________________   **Billing address must be your credit card statement address.  PLEASE FAX ORDER FORM TO: 917-492-7164