Sheltie Specialties Order Form

PRINT THIS OUT - PLEASE SEND ALL ORDERS VIA MAIL TO:
719 E. North Street - Poynette, WI 53955

NAME:________________________________ E-mail ___________________________
Telephone: ______________________ STREET:__________________________________ CITY:___________________STATE:______ZIP_______

Quantity:	Product	Item#:	Color:	Size:	Price Each:	Total:










					TOTAL:

	In WI add 5.5%tax
ALLOW UPTO 4-6 WEEKS DELIVERY TIME	Shipping, handling, and insured delivery
Prices subject to change without notice	TOTAL with shipping and tax:

Shipping - Handling- Insurance (Note: Some items need to be sent separately so an additional amount may apply, if you are ordering other items.):

$0-$20.00	$5.95	$50.01 to $65.00	$9.50	$95.01 to $100.00	$13.75
$21.01 to $30.00	$6.20	$65.01 to $75.00	$10.50	$100.01 to $150.00	$15.00
$30.01 to $40.00	$7.40	$75.01 to $85.00	$11.75	$150.01 to $200.00	$20.00
$40.01 to $50.00	$8.50	$85.01 to $95.00	$12.50

Enter credit card number:.............................................................

Expiration Date:_________________ Signature:___________________________

Check or Money Order ($15.00 Service Charge for NFS checks)

Damaged UPS shipments:
inform your local UPS office and advise.
DO NOT RETURN PKG TO US.