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*PERSONAL ORDER FORM*

If you are placing an order for yourself
and do not need gift wrapping........
Please copy & paste the order form below
into the body of an email
and email it to us at
puppystork@pathway.net

Please allow 1-2 weeks for delivery

* * * * * THE ORDER FORM BEGINS HERE * * * * *

Name:

Address:

City:

State:

Zip Code:

Email Address:

Phone:

Will you be picking your order up here?

Do you need this order shipped?
If yes, is the address above the correct shipping address?

If not - Please post the correct shipping address below:
 

Please list all items you are ordering - quantity of each item wanted 
Size, Style & Color if applicable & price of each item below

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Please list additional items here.....

Comments or Questions:

Total Due For Ordered Items:
Shipping Charge:
Tax - If Applicable:
 

Are you using a Stork Dollar Voucher with this purchase?
If yes, what is the amount to be deducted from your total?

Total Due:
 

Are you paying through paypal or mailing a check?

* * * * * THE ORDER FORM ENDS HERE * * * * *

The shipping charges are as follows:

$1.00-$24.99....$6.50

$25.00 - $49.99....$9.00

$50.00 - $74.99....$12.50

$75.00 - $99.99....$14.50

*All orders that total $100.00 or more...
Add $2.00 additional for each $25.00 increment

PA residents please add 6% sales tax

We accept payment through paypal.com

Our email address at paypal is
puppystork@pathway.net

You may also mail a check.

Checks are to be made
payable to Puppy Stork.

Orders will not be shipped until the check clears.

Please mail your payment to:
Puppy Stork
662 Plain Grove Road
Slippery Rock, Pa 16057
 

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