PETSTATION MARKETPLACE ORDER FORM

(NOTE: PRINT OUT THIS FORM... then clearly print or type your information, and mail with payment to: PETSTATION, Box 46401, Seattle, WA 98146)

ITEM # _______ TITLE: _______________________________ PRICE: _____ QUANTITY: _______

ITEM# _______ TITLE: _______________________________ PRICE: _____ QUANTITY: _______

ITEM # _______ TITLE: _______________________________ PRICE: _____ QUANTITY: _______

BOOK # _______ TITLE: _______________________________ PRICE: _____ QUANTITY: _______

SUB-TOTAL: __________

SHIPPING/HANDLING: __________

U.S. Orders: Add $2.50 for orders up to $20; $3.00 for orders up to $40; $3.50 for orders up to $60;
$4.00 for orders up to $80; $4.50 for orders up to $100; and $5.00 for orders over $100.

Canada Orders: Include an additional $1.50 to the shipping rates listed above.

Other Foreign Orders: Include an additional $4.50 to the shipping rates listed above.

TOTAL: __________

NAME: _______________________________________

Address: _______________________________________

City: ____________________________ State: ________ ZIP/Postal Code: _____________

Country: ____________________

Phone: ____________________ Fax: ___________________ E-mail: __________________

PAYMENT: Check/Money Order Enclosed: ______ Visa/MasterCard: _______ Expiration: ________

Name on Card: _____________________________________

Card Number: _____________________________

PETSTATION MARKETPLACE ORDER FORM

TOTAL: __________

THANKS FOR YOUR ORDER

It will be processed upon receipt