Order Pet*iD Short Cut Home
Print it out, _ Fill it out, _ Fax it Back | |||
Pet*iD WEB ORDER FORM - BILLING INFORMATION
_Card Number_ ____________________________________________________
First Name:
Last Name:
Address:
City
State
Zip
Home Phone:
Work Phone:
E-Mail Address:
Credit Card Type: (Circle One)
_Exp.: mo.___ Year ______ Country __________________________________
Card Holder's Name as it appears on your card:
ORDER INFORMATION..................... For Block Orders : Call (507) 529-9595
..
.Pet-001_One Year Plan
.
..
Pet-007 Renew 1 year service Plan
.
.
Pet-005_Life Time Plan
.
.
Pet-002_Extra Pet Tags
.
.
S & H
.
.
.
.
.
All orders are shipped within two working days
Pet*iD Short Cut Home 800-836-7383 ©2007-2008 All Rights Reserved