Lassie Come Home--NC Pet ID Tag/Collar Order Form


All Shipping Charges are Included in Prices
More Information + More Lines = Smaller Text / Less Information + Fewer Lines = Larger Text
4 Line Maximum Per Side of Each Tag / 18 Characters (including spaces) Per Line
01 - Large Red Heart $5 02 - Sm Magenta Heart $3 03 - Large Blue Bone $5 04 - Small Blue Bone $3 05 - Large Red Stop Sign $5 06 - Lg Black Circle $5 07 - Small Pink Circle $3
08 - Large Rd Hydrant $5 09 - Small Gold Bone $3 10 - Small Red Bone $3 11 - Small Magenta Bone $3 12 - Small Red Stop Sign $3 13 - Large Red Bone $5 14 - Small Pink Bone $3
C1 - Large Black Collar $15 C2 - Large Blue Collar $15 C3 - Lg Red Collar $15 C4 - Med Black Collar $12 C5 - Med Blue Collar $12 C6 - Med Red Collar $12 MH - Memorial Stone, Heart $18
MB - Memorial Stone, Bone $18

Choose Item Number_______________
Side One Text:
___________________________________
___________________________________
___________________________________
___________________________________

Side Two Text (if applicable):
___________________________________
___________________________________
___________________________________
___________________________________

Choose Tag/Collar Number_______________
Side One Text:
___________________________________
___________________________________
___________________________________
___________________________________

Side Two Text (if applicable):
___________________________________
___________________________________
___________________________________
___________________________________

(For Additional tags reprint order form or use a separate sheet of paper)
Name:___________________________________________________
Street/PO Box:____________________________________________
City/State/Zip:_____________________________________________
Phone Number:________________________________
Email Address:________________________________
Donation:_______________Total Amount Enclosed:_________________________

Make Check/Money Order Payable to Lassie Come Home–NC
Mail Check/Money Order and Completed Order form to:
Lassie Come Home–NC           PO Box 1301            Mount Airy, NC 27030