This Old Cat - BLANK ORDER FORM
BILL & SHIP TO:
*Name: ________________________________________________________________________
*Street Address:_________________________________________________________________
*City: ________________________________ *State: ______________ *Zip: _______________
*Phone Numbers: Day @ (______)________________ Evenings @ (______)________________
Email Address: ________________________________ Fax Number: (______)_______________
*METHOD OF PAYMENT:
[ ] CHECK/MONEY ORDER (enclosed)
[ ] CREDIT CARD (complete the following)
1. Type of card [ ]Visa [ ]Mastercard [ ]Discover [ ]American Express
2. Card number _____________________________________
3. Expiration date on card _______________________________
4. Name exactly as it appears on card _________________________________
5. The Verification Number________________________
Fax the completed order page to our TOLL-FREE FAX ORDER LINE at 1-866-343-2737
or mail to THIS OLD CAT, PO BOX 320, HONEOYE, NY 14471-0320
| |
Item Description (and size, color, etc.) |
Quantity |
Price Each |
Total Price |
| |
|
|
$ |
$ |
| |
|
|
$ |
$ |
| |
|
|
$ |
$ |
| |
|
|
$ |
$ |
| |
|
|
$ |
$ |
| |
|
|
$ |
$ |
| SUB-TOTAL = |
$ |
| Other Charges (if required) + |
$ |
| NYS residents add 8% sales tax + |
$ |
| TOTAL = |
$ |
*asterisk items are required to complete your order -- an incomplete order form may delay shipment!
Please remember to make check or money order payable to "This Old Cat" (in US$).
Keep a copy of this completed order for your records.
Contact us if you have ANY questions, toll-free at 1-866-388-4707 (or 585-919-6557).
THANK YOU FOR YOUR ORDER!
Press your BACK button to return to previous page
this page last updated January 2, 2012