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Call, FAX or Mail. 3 Ways To Order * Phone * FAX * U.S.P.S. Mail!

Please print this form on your printer. After filling out the form you may use one of the above methods to place your order. Most items, except custom items, are shipped next day. We will call you if there will be any delay. Shipping is via UPS ground unless otherwise specified, all packages are insured and have a special tracking number to prevent loss. Special orders which require custom painting or engraving may take longer.

For your convenience we accept these major credit cards:

 

Please Print All Information 
Items Listed in Red must be completed.

Name__________________________________ Phone #___________________

Address___________________________________________________

City ________________________ State __________ Zip __________

E-mail:___________________________________________________

Delivery Address (if different from above). Gift o Yes o No

Name_____________________________________________

Address:___________________________________________________

City ____________________________State __________ Zip _______

Include Card o Yes o No  Please, add $2.00 and send message for card on an additional sheet.

Want a nameplate?  Go to Nameplate Order Form.

Quan

Item No.

Color

Description of Item

Price
Each

Total

           
           
           
           
           
           
           
           
       

Sub-Total

 
     

For Florida residents only!

7% Sales Tax

 
        Shipping  
        Total Due  

Shipping Rates

Total Order Shipping Fee
$0   - $29.99 $7.95
$30 - $49.99 $9.95
$50 - $74.99 $11.95
$75 - $99.99 $13.95
$100-$124.99 $15.95
$125-$149.99 $17.95
$150 - & Up Call for quote.
2nd day or Next Day  Call for quote.

Method of Payment: Check/MO o Discover o Visa o MasterCard o

Account No. ___________________________

Expiration Date _________

Signature of Cardholder______________________

© Reflections Pet Urns. All rights reserved.
Last Updated: Tuesday, March 25, 2008

(727) 643-8184 or (727) 545-1938
Fax: (727) 545-1938 : info@peturns.com

Reflections Pet Urns, Inc.
6225 72nd Avenue North
Pinellas Park, FL 33781 (USA)