Sheltie Rescue of Greater Lafayette

 

Sheltie Shop Order Form

Full Name

 ___________________________________________________________

Address

 ___________________________________________________________

City

 ________________________

State

 ________________________

Zip Code

 ________________________

Phone

 ________________________

Email

 ________________________

Notes

 ________________________

Item No.

 Product

Qty.

Price per Item

Amount

1.

 Drink Coolies

_______

$4.00

$__________

2.

 SRGL Tote Bags

_______

$15.00

$__________

3.

 Sheltie Sock

_______

$7.00

$__________
4. Tan Dog / Bone Lover Sock

_______

$7.00

$__________
5. Paw Prints

_______

$7.00

$__________
6. Ribbon Car Magnet

_______

$7.00

$__________

7.

 I Love My Sheltie Bumper Sticker

_______

$5.00

$__________

8.

 Sheltie Rescue of Greater Lafayette Yellow Sweatshirts

_______

$20.00

$__________

9.

 I Love Sheltie Rescue Sock - White

_______

$7.00

$__________

10.

 Short Crew Paw Sock

_______

$7.00

$__________

11.

 White and Black Check Paw Print Sock

_______

$7.00

$__________

12.

 White "Dogs" Sock

_______

$7.00

$__________
   

 

Total Items Ordered

__________
   

 

Total Amount

$__________

 

Please make all Checks and Money Orders payable to Sheltie Rescue of Greater Lafayette

 

SRGL - Sheltie Shop

3836 Lodi Lane

Lafayette, IN 47905

Allow up to 4 weeks for delivery