Food4Pets Mail Order Form
Merrythought Enterprise 117 Somerset Road Stevensville, MD 21666 voice (410) 643-3426 |
VISA
MC AMEX |
Print and Mail
|
|
Billing Information |
Shipping Information if different from billing |
| Name:_____________________________________ | Name:___________________________________ |
| Address1___________________________________ | Address1:________________________________ |
| Address2___________________________________ | Address2:________________________________ |
| City:_______________________________________ | City:_____________________________________ |
| State:_____________________________________, Zip:_______________________________________ | State:___________________________________, Zip:_____________________________________ |
| Phone:_____________________________________ | Phone:___________________________________ |
| Card: Visa [ ] MC [ ] AMEX [ ] | |
| Card Number:___________________________________ | Or Please Enclose a Check |
| Expiration Date:______________________________________ | CCV2 Code from back of Credit Card___________________ |
| MANUFACTURE |
PRODUCT |
SIZE | QUANTITY | PRICE EACH | TOTAL |
| ____________ | ___________________ | ____ | ________ | $___________ | $____________ |
| ____________ | ___________________ | ____ | _________ | $___________ | $____________ |
| ____________ | ___________________ | ____ | _________ | $___________ | $____________ |
| ____________ | ___________________ | ____ | _________ | $___________ | $____________ |
| ____________ | ___________________ | ____ | _________ | $___________ | $____________ |
| ____________ | ___________________ | ____ | _________ | $___________ | $____________ |
| Add rows to find product total | $____________ | ||||
| Add Shipping Chg | $____________ | ||||
| MD residents add 5% sales tax | $____________ | ||||
| Total amount due | $____________ |
Directions: Simply fill in the product information from our web pages. Mail with a check or credit card info.
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