Fax Order Form

To assist us in filling your order as quickly as possible, please take advantage of our convenient on-line ordering by completing the form below. You can print a copy of the order form and fax or mail it to us with your check or payment information. Please allow 4-6 weeks for delivery as I make up each order as it comes in, and this takes a little time.

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
E-mail

Please provide the following ordering information:

QTY	DESCRIPTION

ORDER TOTAL

	Total of Products Ordered
	Sales Tax - 6% for Florida Orders
	Shipping - click HERE for our shipping rates
	Grand Total

 

COMMENTS

 

	BILLING
Credit Card:	Visa MasterCard American Express Discover
Cardholder Name:
Card Number:
Expiration Date:
C V V Number:
The C V V Number is a 3 digit "code" which can be found on the back of your credit card near the right end of the signature panel.

	SHIPPING
Check if Same as Billing Address
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please Print this form and Fax it to (954) 436-9195 or you can mail this form to: The Furry Animal Lady 290 SW 97th Terrace, Pembroke Pines, FL 33025  

PLEASE PRINT THIS FORM AND FAX OR MAIL IT TO US AT:

Postal address

The Furry Animal Lady 
290 SW 97th Terrace, 
Pembroke Pines, FL 33025  

Electronic mail

General Information: furryanimallady@yahoo.com
Sales:1-888-387-6386

FAX

(954) 436-9195