Print This Form and Mail With Remittance
NOTICE: USE
ONE(1) ORDER FORM FOR EACH DOG COLLAR ORDERED IF THE NAME TAG INFORMATION AND/OR COLLAR
DESIGN IS DIFFERENT
K.A. Johnson Import Co., Inc.
JAF Station/P.O. Box 7822
New York, N.Y. 10116 U.S.A.
ORDER DETAILS
Collar Style Number
|
____________________
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Collar Price
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____________________
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Dog's Neck Size
|
____________________
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Collar length(22" to 26")
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____________________
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Add Information For Name Tag
One letter per dash, space between names requires a blank dash, etc.
Your Name:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Street:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Telephone: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
*** Additional name tags are available at a cost of Only US$20.00
shipping and handling included in price (includes solid brass screws for attaching to collar)/
tag ordered with collar is installed with brass rivets.
SHIPPING & HANDLING INCLUDED IN PRICE FOR ORDERS SHIPPED IN THE U.S.
*** US$10.00 S & H EXTRA CHARGE WILL BE CHARGED TO INTERNATIONAL ORDERS ***
Payment Method: Money Order or Check made payable to K.A. Johnson Import Co., Inc., New
Jersey
Please do not send cash or personal checks drawn on a foreign account. Payment must be in
U.S. Dollars drawn on a U.S. Bank.
Send Payment To:
K.A. Johnson Import Co., Inc.
JAF Station/P.O. Box 7822
New York, N.Y. 10116 U.S.A.
Contact Option: Fax (973) 642-3204
Tel. (973) 242-8474
Send Collar to: (Please Print)
Name_____________________________________________________________
Address__________________________________________________________
Address__________________________________________________________
City_____________________________________________________________
State/Province___________________________________________________
ZIP/POST CODE:___________________________________________________
Country__________________________________________________________
Telephone________________________________________________________
Email____________________________________________________________