Order Form

Order Form
Cremation Information For Our Loved and Cherished Pets

Order Number

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Please fill out form completely. You may print this form and mail or you may send electronically by clicking on the submit button below when you finish the form. You will receive a confirmation E-Mail with your total cost and a shipping tracking number. Any questions please E-Mail BelspurOaks@Verizon.Net

Billing Information	Order Number:	Shipping Address	Same as Billing
Name:		Name:
Address:		Address:
City:		City:
State:		State:
Zip:		Zip:
Phone:		Phone:
Fax:		Fax:
E-Mail:		E-Mail:

Items:

Item	Description	Price
		$
		$
		$

Shipping Information:

All items are shipped by either UPS or USPS. For standard shipping please allow 5 to 7 days to receive your order.

Standard Shipping: Actual Cost

Second Day Shipping: Actual Cost

Next Day Shipping: Actual Cost

Engraving:

Engraving Order Requested

Engraving Not Requested

Please place engraving instructions in box below.

How do you want to be contacted about the engraving:

If you are paying by check and your order contains Engraving please do not enclose payment at this time. After your order is received you will be sent a invoice with the total charges. If you are paying by credit card please enclose your card number at this time. Your account will not charged until delivery confirmation from the shipper is received.

Return Information:

Non-Engraved items may be returned for a refund within 10 days excluding shipping charges.

Check Number:		Amount $:
Visa	MasterCard	Discover Card	American Express
Name on Credit Card:		Signature:
Credit Card Number:		Expiration Date:

Send E-Mail to BelspurOaks@Verizon.Net with any questions or comments about this web site.

Copyright © 1999 - 2008 Belspur Oaks Pet Crematory, Inc.