ORDERED BY:
Your Name__________________________________________
Address_____________________________________________
City, State, Zip_______________________________________
Phone Number_______________________________________
Email address________________________________________

SHIP TO (If different):
Name_______________________________________________
Address______________________________________________
City, State, Zip________________________________________
Phone Number________________________________________


DESCRIPTION......................QTY.....PRICE EACH......TOTAL
1________________________________________________________
2________________________________________________________
3________________________________________________________
4________________________________________________________
5________________________________________________________
.............................................................SUB TOTAL__________

If your basket includes a bandana please indicate size: x-small-11”-14” neck___ small- 14”-17” neck___ medium- 17”-20” neck___ large- 20”-23” neck___ x-large- 23”-26”neck___

If your basket includes sunglasses please indicate size: small__ medium___ large___

If your basket includes a pet collar please indicate: male___ female___

TOTAL____________


GIFT CARD MESSAGE: __________________________________


PAYMENT OPTIONS
Personal Check ( )- - - - -Money Order ( ) - - - - - PayPal.com ( )


Print This form out and send to: 

Diane Dunbar @

Baskets for Bowser & Kitty Too

656 Woodcrest Dr.

DISCLAIMER

"Due to manufacturers availability certain items may be substituted at an equal or greater value."