Twisted Tails Payment/Shipping Form

Fax or Mail this Form  with Order forms to:

Twisted Tails, 311 Teal Dr., Raeford, NC  28376

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Deadline for guaranteed Christmas delivery: October 15

Orders shipped to addresses within the United States only.

 

Payment Information:

___Visa ___MasterCard ___American Express ___Discover

OR ___Check made payable to: Twisted Tails

 

 

Name on Card:_______________________________________

 

Card Number:________________________________________

 

Signature:_____________________________________ Expiration Date:_______________

 

Subtotal:______________________________

Tax (North Carolina residents add 6.75%):_____________

Shipping:      $15.00

Total paid: _____________________________________

 

Billing Address:   Shipping Address: (No PO Boxes, Orders will be shipped UPS or FedEx)
Name   Name
    c/o
Address   Address
     
City   City
State   State
Zip code   Zip code
Phone   Phone
Email   Email

 

Special Instructions:______________________________________________________________

How did you hear about us?_____________________________________________

Fax or Mail this Form  and Order forms to: Twisted Tails, 311 Teal Dr., Raeford, NC  28376, Fax (910) 875-8607

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