ORDER FORM
Description
Quantity
Price
Cost
Regular Sack (one cup of nip)
$3.50
Small Sack
$2.00
Toss About (assorted fabric w/polar fleece tail)
$1.50
Kick Nip (assorted fabrics)
$3.50
Nickel Bag (loose catnip)
$5.00
Marinated Mouse
$1.00
Available fabrics vary from time to time
Subtotal
Maine residents add 5% Sales Tax
Shipping - Priority Mail: $20 Order=$4; $20-40 Order=$6; $40-60 Order=$8.50
Shipping
Minimum order $20
TOTAL
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Select
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Telephone #:
E-mail:
Please list your color preferences (boy cat/girl cat colors?) and any additional comments
Dr Pussums is not connected to the internet and it is necessary to mail your order in
.
PLEASE PRINT THE FORM
AND MAIL IT TO THE ADDRESS BELOW TOGETHER WITH YOUR CHECK
Sheri Fowler
20 Front Street, Sumner, ME 04292
207-388-2162