Please print out this order form for mailing or faxing We have found the best way to do this is print out the entire page, fill in the necessary information and Mail to: John Bogdanski 27 Tanglewood Dr.. Norwich, CT 06360 USA Fax to: 815-333-1252  Questions: 860-887-1581 or john@catanddogplaques.com         Date:________

Your Full Name:__________________________________________________ Shipping Address:________________________________________________ City:___________________State or Province:_____________ Postal Code:__________ Country:___________ Your Phone # : ________________________  Email______________________ Name and Address as it appears on the credit card: Your Full Name:______________________________________________________ Shipping Address:____________________________________________________ City:_____________State or Province:______________ Postal Code:____________Country:____________ Your Credit Card # __________________________ Expiration Date:_______ 3 digits on back of card _______ Today’s Order Plaque Style and Color  Amount Ordered   Price Subtotal                                                                                                                                                                                             Sub Total __________________                                                                                                                  $9.95 per plaque Shipping __________________                                                                                                                                                          Total __________________ Comments _________________________________________________________ Payment:   [  ] Check enclosed  [ ] Money Order Enclosed (USD) Make check out to JBogs Send to: JBogdanski 27 Tanglewood Dr, Norwich CT.  06360. If you have any questions or if I can help you in any way, please drop me a note at  john@catanddogplaques.com or call 860-887-1581