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ORDER FORM
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 Collar
Clinic 1517 Northern Star Drive Traverse City, MI 49696 |
1-800-430-2010
International or Local Call: 231-947-2010 Fax: 231-947-6566 Email: order@collarclinic.com www.collarclinic.com |
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Billing Address:
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Ship to Address: (if
different from billing address)
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| Name: __________________________________ | Name: _____________________________________ |
| Address: ________________________________ | Address: ___________________________________ |
| City: ___________________________________ | City: ______________________________________ |
| State: __________________________________ | State: _____________________________________ |
| Zip Code: _______________________________ | Zip Code: _________________________________ |
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*We appreciate having your daytime
telephone number, in case we need to call you with any questions about
your order.
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| Telephone # (Daytime preferred)_________________________ |
Email address: (Optional)__________________________________ |
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MODEL #
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DESCRIPTION
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QTY.
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PRICE
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TOTAL
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Please call ahead if
you are ordering a Reconditioned Trainer
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Merchandise Total
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Michigan Residents
add 6% Sales Tax |
___________ | |
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Add Shipping (see chart)
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COD orders add $10.00
(U.S. only) |
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TOTAL ORDER AMOUNT
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Method of Payment
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| Check or Money Order (Payable to Collar Clinic (US Funds only) | |
| C OD Visa MasterCard American Express Discover | |
| Credit Card # (all digits please) | |
| Expiration Date: | |
| Signature of cardholder | |
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*Please check that you have clearly
printed all necessary information.
THANK YOU FOR YOUR ORDER! |
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Shipping Rates (Continental U.S.)
Please contact us for shipping rates outside continental U.S. |
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Merchandise
Total |
UPS Ground
or USPS |
3 Day
UPS |
2 Day
UPS |
Overnight
UPS |
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$0.00-$50.00
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$5.00
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$10.00
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$15.00
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$30.00
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$50.01-$100.00
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$8.00
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$15.00
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$20.00
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$40.00
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$101.00-$200.00
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$9.00
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$20.00
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$25.00
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$50.00
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$200.00 and over
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$10.00
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$25.00
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$35.00
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$60.00
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