Contact information Date:
Owner’s Name(s): Pet’s Name:
Owner’s Address: Pet’s Breed
Phone Number:
E-Mail Address: _
Options(Check boxes):
Standard Plaster Portrait: or Ash-Embedded Memorial Plaster Portrait:
Size(inches) Frame Option Cost
8 x 10…………...without frame………..…..$325*
8 x 10…………...with frame….………...….$350*
11 x 14………… without frame……………$375*
11 x 14………….with frame..……………...$405*
16 x 20………….without frame……………$500*
16 x 20………….with frame……………….$535*
Custom/Oversive…………………………inquire*
Pawprint with embedded tag $125*
Miscellaneous options
Custom Background Color……additional…$ 35*
Embedded Pet I.D. Tags (you provide)……. $ 15*
Embedded Pet I.D. Tags (we provide)…….... $ 35*
* price before 6% tax and shipping not included.
* Total Cost ______ Payment Method: Cash, Money Order Check#
Visa, MC, Discover, American Express
* Sales Tax (6%) + Card# ________________________ _ Exp:_____
*Shipping cost +
*Amount Due _______ _
*Amount Paid _________
Customer Signature:______________________________________Date:
|
