The Pampered Pet Mart
Mail/Fax Order Form
5205 Thatcher Road
Downers Grove, IL 60515
FAX: (630) 810-1934
Ship To:
First Name:
Last Name:
Email:
Telephone:
Company:
Address:
City:
State:
Zip Code:
Bill To: (If Different)
First Name:
Last Name:
Email:
Telephone:
Company:
Address:
City:
State:
Zip Code:
Code Product Description
Size
Color
Qtn
Cost





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$
Note: Shipping and handling charges (and sales tax for Illinois residents) will be added. See SHIPPING TABLE for actual shipping charges.
To receive confirmation of your order include email address above.

Pay With: MasterCard, Visa, Discover, American Express or Money Order (mail)

Credit Card Number: ___________ - __________ - _________ - __________

Exp Date: ____/____ CVV/CVC Code: ________

Signature: ______________________________________ (Required)

Mail to the address above or Fax to: (630) 810-1934
Sorry but we ship only to the U.S. We do not deliver to P.O. Boxes or any country outside the U.S.

Shipments to APO/FPO addresses, or Alaska or Hawaii should expect an up-charge.
Thanks for shopping at ThePamperedPetMart.com!