(PRINT THIS ORDER FORM)

Then Mail …To GOOD DOG, 3006 Bob White Drive, Granbury, Texas 76049

or                      FAXto (817) 910-2022

ORDER FORM

DATE:______________

Sold to:

name:____________________________________________________________

address:__________________________________________________________

city & state:_______________________ zip code:________________________

phone: work_______________________ or home________________________

Breed to be housed:

Quantity_______________________ Description____________________________________________ Color____________________________________ Size____________________________ Price __________________________ Amount_______________________

Shipping & Handling Cost $16.50

Total:

Terms: ( ) check ( ) cash ( ) Visa ( ) American Express ( ) Master Card ( ) Discover

card number ______________________________________________expires: ____________

Comments:_____________________________________________________________

Please make checks or money order payable to GOOD DOG!