Doggie Duffle

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Fields marked with * are mandatory.

Please complete the form below and choose one of the following options: 1) click the Send button 2) print off and fax to: 519-827-1088 A sales representative will contact you to complete the sale. Please allow 4 - 6 weeks for delivery.
*	Your name:
*	E-mail:
*	Quantity Ordered:	@ $149.99 each, plus shipping and handling
Colour
*	Duffle Shell:	Black Cordura®
*	Foam Bed Insert:	Top:Black Microfleece Bottom:Black Cordura®
Billing Address
*	Address:
*	City:
*	Province/State:
*	Postal Code/Zip Code:
Mailing Address		Same as Billing Address
*	Address:
*	City:
*	Province/State:
*	Postal Code/Zip Code:
*	Home Phone #:
	Work Phone #:
*	Preferred Time To Receive a Call:	Morning Afternoon Evening
	Fax #:

Type of dog
	1st dog:
	2nd dog:

Type of vehicle
	1st vehicle:
	2nd vehicle:

	Is This a Gift?:	Yes
*	Method of Payment:	Visa M/C Amex Certified Cheque Money Order

	Order Notes:

DOGGIE DUFFLETM: The versatile 4 in 1 travel accessory for you and your dog.