Sculpture Order Form

Lawn Sculpture/Specialty Items 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 at 904-287-6176 or PHONE us at 904-287-8824
(between 8am and 2pm EST Sunday through Thursday, 24 hrs Friday & Saturday) to place your order. Thank you!

Item Number and Description	Quantity	Price Each	Total Price
Natural Earred Great Dane, Standing*		$	$
Great Dane Beauty, with Butterfly*		$	$
Tote N Go Bed (Shipping by size PLEASE CALL for RATE!)		$	$
Other Breed Sculptures (list here please)		$	$
Order Feed Stands (See Shipping Prices on Feed Stand page)			$
Additional Items not Listed
Order SportsShades	.	$145	$
Merchandise Subtotal			$
Sales Tax			$
*Shipping/Handling (UPS) (CALL FOR RATES on Tote N GO beds please) SCULPTURES, Sportshades & BEDS US Shipping: $13 for first piece plus $5 for each additional piece to the same address. For International Shipping.. Please call 904-287-8824, or email me (danelady@gsinet.net).			$
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: HOME Phone: Street Address: WORK Phone: WORK/ALT Phone: City/ State/ Zip/Country:
CREDIT CARDS ONLY ACCEPTED FOR CRATES and BEDS! Please send CHECK for SCULPTURES! Or Pay with CREDIT CARD via PAYPAL only _______ VISA ______ Master Card ______ Discover Card Credit Card Number: ____________________________________________ Expiration Date: ___________ Card Holder's Name(as it appears on the card): __________________________________________________ Signature: __________________________________ Email Add___________________________________ Mail Check Orders to: Lyn Richards * 2375 State Rd 13* Jacksonville, FL 32259

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