ORDER FORM
Collar Clinic
1517 Northern Star Drive
Traverse City, MI 49696
1-800-430-2010
 International or Local Call: 231-947-2010
Fax: 231-947-6566
Email: order@collarclinic.com
www.collarclinic.com
Billing Address:
Ship to Address: (if different from billing address)
Name: __________________________________ Name: _____________________________________
Address: ________________________________ Address: ___________________________________
City: ___________________________________ City: ______________________________________
State: __________________________________ State: _____________________________________
Zip Code: _______________________________ Zip Code: _________________________________
*We appreciate having your daytime telephone number, in case we need to call you with any questions about your order.
Telephone #
(Daytime preferred)_________________________		 Email address:
(Optional)__________________________________
MODEL #
DESCRIPTION
QTY.
PRICE
TOTAL
         
         
         
         
 
Please call ahead if you are ordering a Reconditioned Trainer
      
Merchandise Total
 ___________
Michigan Residents
add 6% Sales Tax
___________
Add Shipping (see chart)
___________
COD orders add $10.00
(U.S. only)
___________
TOTAL ORDER AMOUNT
 ___________


Method of Payment
Check or Money Order (Payable to Collar Clinic (US Funds only)
C OD Visa MasterCard American Express Discover
Credit Card # (all digits please)
Expiration Date:
Signature of cardholder
*Please check that you have clearly printed all necessary information.
 THANK YOU FOR YOUR ORDER!
Shipping Rates (Continental U.S.)
Please contact us for shipping rates outside continental U.S.
Merchandise
Total
USPS
3 Day
UPS
2 Day
UPS
Overnight
UPS
$0.00-$50.00
$5.00
$13.00
$20.00
$38.00
$50.01-$100.00
$8.00
$18.00
$25.00
$48.00
$101.00-$200.00
$10.00
$23.00
$30.00
$58.00
$200.00 and over
$11.00
$28.00
$38.00
$68.00