Print out the form below. Enter the information in the areas provided. Return it with your check, payable to WHWTCSEM or pay through Paypal (U.S. Dollars only). Questions: email lindagman1977@yahoo.com

Cost:
Sizes 10" - 20" $13.25   Please state actual size needed.(example 16")
Sizes 21" - 35" $17.25   Please state actual size needed. (example 30")

FREE SHIPPING IN THE U.S.A.

Send to:

Linda Gassman
7652 Pine Street
Taylor, Mi. 48180

Name________________________________________________________

Address______________________________________________________

City_________________________________________________________

State____________________________ Zip Code ___________________

Email_______________________________________________________

Phone #

PLEASE WRITE CLEARLY!

Size in Inches _______________

Quantity _______________

Size in Inches _______________

Quantity _______________

Total $ _________________

 Thank you for supporting Michigan Westie Rescue!