SMART-Crate Order Form

SMART-CRATE Order Form
Email us with Questions
To Order: Print this form, fill it out and mail with payment to the address below. For credit card purchases, you may
FAX your order to us 24 hours a day 904-287-6176
or PHONE us at at 904-287-8824 to place your order. Thank you!
Click HERE to return to the Crates Page and View Prices and Shipping (new window will open)

Crate or Accessory Size and Description

Quantity

Price Each

Total Price

CRATE SIZE

$

Summer/Winter Mat

$

Crate Color

$

.

.

$

.

.

$

.

.

$

Merchandise Subtotal

$

Other Item

$

IMPORTANT Shipping/Handling (UPS)
Shipping listed for US Only
For International Shipping.. Please call 904-287-8824, or email me.

$

TOTAL AMOUNT DUE

$

CUSTOMER SHIPPING ADDRESS: (PLEASE PRINT)
Is this a business or residential address? _____ Business _____ Residence
Please note: We cannot ship to Post Office Boxes, as we use UPS for shipping.
Please specify Street Address.

Name: Phone Number:

Street Address:

City/ State/ Zip/Country:

_______ VISA ______ Master Card ______ Discover Card
Credit Card Number: ________________________________________________ Expiration Date: ___________

Card Holder's Name(as it appears on the card): __________________________________________________

Signature: _________________________________________________________________________________

Mail Check Orders to:
Lyn Richards
2375 State Rd 13
Jacksonville, FL 32259
Ph 904-287-8824
Fax 904-287-6176

N'zymes donates 3% of all proceeds of sales thru this link to Great Dane Rescue, Inc

Crate or Accessory Size and Description	Quantity	Price Each	Total Price
CRATE SIZE		$
Summer/Winter Mat		$
Crate Color		$
.	.	$
.	.	$
.	.	$
Merchandise Subtotal			$
Other Item			$
IMPORTANT Shipping/Handling (UPS) Shipping listed for US Only For International Shipping.. Please call 904-287-8824, or email me.			$
TOTAL AMOUNT DUE			$
CUSTOMER SHIPPING ADDRESS: (PLEASE PRINT) Is this a business or residential address? _____ Business _____ Residence Please note: We cannot ship to Post Office Boxes, as we use UPS for shipping. Please specify Street Address.
Name: Phone Number: Street Address: City/ State/ Zip/Country:
_______ VISA ______ Master Card ______ Discover Card Credit Card Number: ________________________________________________ Expiration Date: ___________ Card Holder's Name(as it appears on the card): __________________________________________________ Signature: _________________________________________________________________________________ Mail Check Orders to: Lyn Richards 2375 State Rd 13 Jacksonville, FL 32259 Ph 904-287-8824 Fax 904-287-6176