Pet Tag/Memorial Stone Order Form -- Lassie Come Home--NC

Lassie Come Home--NC Pet ID Tag/Memorial Stone 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

MH - Memorial Stone, Heart $20

MB - Memorial Stone, Bone $20

Choose Item Number_
Side One Text:
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Side Two Text (if applicable):
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Choose Tag/Collar Number_
Side One Text:
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Side Two Text (if applicable):
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(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