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Please make your selection below and then print this form out on your printer. *******NOTE: ALL ORDERS ARE CHARGED A SHIPPING FEE-- EVEN IF THE TOTAL DOES NOT INDICATE A CHARGE WHEN YOU CHECK OUT-- YOU WILL BE CHARGE FOR SHIPPING-- NOTE*******

Request: Embossed Dog Tag- The prices are for 1 set of dog tags that
include a standard issue 27" ball chain, a 4.5" ball chain.
____________________________________________________________
After printing, complete this form and mail with your remittance to:
Northwest SilverSmithing & Ceramics 5010 South Yakima Tacoma,
WA 98408
Ship to:
Name: __________________________
Address: ________________________
City: ___________________________
State, ZIP: ____________________ |
Dog
Tag/Type Ordered: ____________________ Washington
Residents add sales tax 8.8%: ___________________
Shipping: ________________________ US Postal Service -
$2.00 per Tag Add 25cents per extra tag
Total: ___________________________ |
| Visa/MasterCard/American Express/Discover or Paypal Accepted | Account #: _________________________
Expiration Date: ____________________
Authorization Code on back of card- last three
digits
Signature: _________________________
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