Customer Information

Full Name:

Daytime Phone: Evening Phone:

E-mail:

Addr 1:

Addr 2:

City: State: Zip:

Order Information

Qty	Size/Color/etc	Full Description	Item ID#	Unit Price	Cost
SubTotal:
S/H (see chart below)
CA residents only, 8.5% Sales Tax
Total:

Shipping Chart Order total: S/H cost: $.01 - $9.99 $3.00 $10 - $49.99 $5.00 $50 - $99.99 $7.00 $100 - $199.99 $10.00 $200 and over $15.00

Check/Money Orders: Mail your order with correct payment in the form of a check or money order to: DogBazaar.Com 3701 Sacramento Street, #343# San Francisco, CA 94118-1705 Make checks or money orders payable to DogBazaar.Com