Pet Order Form

HOMEORDER FORMMEASURING GUIDEPET MEASUREMENTSPET ORDER FORM

BASIC PATCHESLEATHER PATCHESBLING PATCHESFORMAL PATCHES

NOVELTY 1 PATCHESNOVELTY 2 PATCHESNOVELTY 3 PATCHESFAQ'S

S & H QUESTIONSDISCLAIMERABOUT USCUSTOMER TESTIMONIALS


 

 

 

    *Name:                  

    *Billing Address :      

    *City/Providence:     *State/Country:    *Zip:  

    

    *E-mail:        Phone:  

 

 

  Ship to Name:        

  Shipping Address :       

  *City/Providence:      State/Country:    Zip:      

     Click here if this is a gift!  No receipt will be sent with the order and your name will be shown as being sent from.

Design #

 Choose Patch Size

 Choose Patch Shape

 Choose Patch Type

 Choose Color

Metal Stud

 Choose Trim Color

 Choose

(A) Skull

Band Length

 Choose(B)Muzzle

Band Length

   Choose Band Width

 Choose Quantity

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(U.S.A. Customers can also ship) Priority and Overnight

1st Class Mail,

USA $6.00 ~ Canada, $8.00

Priority Mail 

$12.00 USA only

Express (Overnight) Mail 

$24.00 USA only

Shipping

  

 

Grand Total

Card Holder  

                           Example: John Doe

Card # 

              Example: 1111 2222 3333 4444 

  Exp. Date  /  

Enter your CVV number  

(the card code is the last 3 digit numbers on the back of your card)

CVV number is located here!

Please Write any Special Instructions Here:

 

 

 

 

Orders Submitted in Oklahoma are subject to sales tax.

 

 Remember we make orders per your request. We do not know if the patch size, band length, or any other portion of the order is incorrect.
The elastic can be adjusted tighter to fit the head!
By clicking Submit, you agree to Eye-GrafX return/refund policy.

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