Please print this Order Form and indicate your selection of items in the boxes below.  This form may be faxed to 954-434-6540 or you may mail it to the address listed below.

Toll Free: 866-333-DOXIE (3694)
Phone: 954-434-8277
Fax: 954-434-6540
EMail: anypaws@gate.net

Dachshund Treasures
5619 SW 116th Avenue
Cooper City, Florida 33330
Ship to:
 		Your Email Address:

Your Phone Number:

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Quantity Item Number Description Price Totals

       

       

       

       

       
 
  
     

 		        

 		        
    See Chart Below (Based on total merchandise, per address) Delivery Charges:  $ 
    FL residents only, add 6% Sales Tax:   $ 
Some items may incur addt'l. shipping charges due to packaging size and weight. 
For International orders or more info, please call (866) 333-DOXIE		 GRAND TOTAL: $ 
PAYMENT:  Please indicate the method of payment as shown below and include your check, money order or credit card information.  

Enclosed:
___Check      ___ Money Order      ___Master Card      ___VISA

Credit Card Number________ _______ _______ _______

Expiration Date:     _____/______  

Signature: _________________________________________ 		DELIVERY CHARGES:
(per address)

Up to $25.00       $ 5.95
$ 25.01 to $ 50.00 $ 7.95
$ 50.01 to $ 75.00 $ 9.95
$ 75.01 to $100.00 $11.95
$100.01 to $200.00 $15.95
$200.00 to $300.00 $19.95
Over $300.00       $24.95

COMMENTS: