Order Form For Collar/Leash Combinations

Fill out the order form below by typing your information in the boxes provided,
print it out and return it with your check, payable to: WHWTCSEM

And send to: 

Jackie Curtis
12460 Pamela Court,
Hartland, Mi. 48353

Name:

Address:

City:

State:

Zip Code:

Email:

Telephone:

Telephone & Email will allow us to notify you of backorders or to clarify any items on your order.
Jackie Curtis' email is:  jackie451@yahoo.com

  Total of
RED
Total of
BLUE
Total of
BLACK
Item Total Price Total
Westie Collar $13.00

@ $13 each

Westie Collar with 6 ft. leash $25.00 set

@ $25 set

Playful Westie Collar-RED $13.00       @$13 each  
Playful Westie Collar-BLUE $13.00       @$13 each  
Playful Westies Set - RED $25.00 set       @ $25 set  
Playful Westies Set - BLUE $25.00 set       @ $25 set  
   Shipping*  
Total of Order

*Shipping is included in USA only.  All others,PLEASE CONTACT US for shipping rate.

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