Complete the information and fax it to:

(619) 585-1956

Or send by mail to:

Kuddle Kots Order Processing
828 Date Avenue
Chula Vista, CA 91911

Name:

Ship to Address*

Billing Address*

City

State

Zip

Daytime Telephone                                                                                              Fax

Email Address:

Pet's Name and Breed

XSM Companion Animal ChiroBed™ @ ($119.95 each) Small Animal to 15 lbs.

$

Check Color ¨ Burgundy ¨ Hunter Green ¨ Deep Gray ¨ Tan

SM Companion Animal ChiroBed™ @ ($149.95 each) Animal to 15 to 30 lbs.

$

Check Color ¨ Burgundy ¨ Hunter Green ¨ Deep Gray ¨ Tan

XSM Travel/Crate Bed @ ($49.95 each) to 15 lbs.

$

Check Color ¨ Burgundy ¨ Hunter Green ¨ Deep Gray ¨ Tan ¨ Red

Blanket @ ($22.95 each)

$

Check Color ¨ Burgundy ¨ Hunter Green ¨ Deep Gray ¨ Tan ¨ Red

Embroidery

Print Below: (20 letters/spaces) add $9.95, white stitching

$

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Print Here

Subtotal:

$

CA Tax @ 7.75% with in San Diego County
7.5% all other CA locations. Delivery outside CA – No Sales Tax:

$

Shipping**:

$

Order Total:

$

Card Holder Name:

Check Payment Type: ¨ Checks – to Oakwood Design   ¨ MasterCard   ¨ Visa   ¨ Paypal – send invoice

Card Number

Exp Date

Security Code:
last 3 digits on signature panel

Signature