ORDER FORM
Collar Clinic
1517 Northern Star Drive
Traverse City, MI 49696-9903
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
UPS
3 Day
UPS
2 Day
UPS
$0.00-$50.00
$5.00
$10.00
$20.00
$30.00
$50.01-$100.00
$8.00
$15.00
$25.00
$35.00
$101.00-$200.00
$12.00
$20.00
$30.00
$40.00
$200.00 and over
$15.00
$25.00
$35.00
$50.00