Teacup And Toy Pets Supply Order Form

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Copy & Paste Order Form Below

51200800
                                                                         Teacup and Toy Pets Pet Supply Order Form 
                                                      www.TexasTeacups.com / www.TeacupAndToyPetsBoutique.com 
                                                                    10308 US HWY 8O Forney Texas 75126
                                                              Phone: 1-972-552-1989 FAX: 1-480-247-4749
                                                                       PuppyPurchase@TexasTeacups.com
                
Copy & Paste this order form and send it to us by e-mail or fax. Delete items number that are not needed if ordering only one or two items. 

( ITEM # 1 )  DESCRIPTION OF ITEM:
( ITEM # 1 ) Order Number:
( ITEM # 1 )  Product brand if listed:
( ITEM # 1 )  Color:
( ITEM # 1 )  Size: 
( ITEM # 1 ) Qty:
( ITEM # 1 ) Price: $

ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 1 ==============

( ITEM # 2 )  DESCRIPTION OF ITEM:
( ITEM # 2 )  Product Brand if listed:
( ITEM # 2 ) Order Number:
( ITEM # 2 )  COLOR:
( ITEM # 2 )  SIZE: 
( ITEM # 2 ) QTY:
( ITEM # 2 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 2 ==============

( ITEM # 3 )  DESCRIPTION OF ITEM:
( ITEM # 3 )  COLOR:
( ITEM # 3 )  SIZE: 
( ITEM # 3 ) ORDER NUMBER:
( ITEM # 3 ) QTY:
( ITEM # 3 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 3 ==============

( ITEM # 4 )  DESCRIPTION OF ITEM:
( ITEM # 4 )  COLOR:
( ITEM # 4 )  SIZE: 
( ITEM # 4 ) ORDER NUMBER:
( ITEM # 4 ) QTY:
( ITEM # 4 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 4 ==============

( ITEM # 5 )  DESCRIPTION OF ITEM:
( ITEM # 5 )  COLOR:
( ITEM # 5)  SIZE: 
( ITEM # 5 ) ORDER NUMBER:
( ITEM # 5 ) QTY:
( ITEM # 5 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 5 ==============

( ITEM # 6 )  DESCRIPTION OF ITEM:
( ITEM # 6 )  COLOR:
( ITEM # 6 )  SIZE: 
( ITEM # 6 ) ORDER NUMBER:
( ITEM # 6 ) QTY:
( ITEM # 6 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 6 ==============

( ITEM # 7  )  DESCRIPTION OF ITEM:
( ITEM # 7  )  COLOR:
( ITEM # 7  )  SIZE: 
( ITEM # 7  ) ORDER NUMBER:
 ( ITEM # 7  ) QTY:
( ITEM # 7 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 7  ==============

( ITEM # 8  )  DESCRIPTION OF ITEM:
( ITEM # 8  )  COLOR:
( ITEM # 8 )  SIZE: 
( ITEM # 8 ) ORDER NUMBER:
( ITEM # 8  ) QTY:
( ITEM # 8 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 8  ==============

( ITEM # 9 )  DESCRIPTION OF ITEM:
( ITEM # 9 )  COLOR:
( ITEM # 9 )  SIZE: 
( ITEM # 9 ) ORDER NUMBER:
( ITEM # 9  ) QTY:
( ITEM # 9 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

============= End of Item Number # 9 ==============

( ITEM # 10 )  DESCRIPTION OF ITEM:
( ITEM # 10 )  COLOR:
( ITEM # 10 )  SIZE: 
( ITEM # 10 ) ORDER NUMBER:
( ITEM # 10 ) QTY:
( ITEM # 10 ) Price: $
ADDITIONAL COMMENTS ON THIS ITEM:

Shipping & handling is 12% of total order and 25% of orders that include pet beds, puppy playhouse, crates & pet carriers.

============= End of Item Number # 10  ==============



____________________________________________________________________
Printed Full Name of Pet Purchaser ( Must be the same as credit card )

____________________________________________________________________
Shipping Street Address ( Must be the same as credit card )

____________________________________________________________________
City  

___________________________________________________________________
State

____________________________________________________________________
Zip Code  

___________________________________________________________________
Primary  Phone Number

___________________________________________________________________
  Date order was submitted


MANUAL PET SUPPLY CREDIT CARD AUTHORIZATION Form

I am AUTHORIZING charges in the amount shown on line 3. to be charged to my credit card for pet supplies and misc.

( 1. ) Amount Due for Pet Supplies: $

( 2. ) Amount Due for Shipping (10%): $

( 3. ) Total Amount of Charge:
         ________________________________________________

( 4. ) Print Name on Credit Card:               

( 5. ) Circle Credit Card to be used / circle choice:  Visa   Master Card   Discover  American Express

( 6. ) Credit Card Number Here :

( 7. ) Expiration Date Month & Year :

( 8. )  Security Code (CVV2):

( 9. ) Authorization Code ( Provided by TeacupAndToyPets ):

( 10. ) Date of Charge:

( 11. ) Signature of Card Holder Authorizing Charges: _____________________________________________________

INSTRUCTIONS ON SUBMITTING FORM

Please call if you need help 1-972-552-1989
Please use the following option below to submit your order form.

Option 1. Please sign and fax to 1-480-247-4749

Option 2.  Scan this document and e-mail to: ( PuppyPurchase@TexasTeacups.com )

Option 3. This form may be mailed if we will be shipping your puppy after 10 days from the date you receive this e-mail.