NOTE:
If requested color is not available, similar
color will be substituted. Prices are subject to
change.
Part ..................... Cost
Qty
Total Cost
Buckle Strap/Buckle .... $6.99 X _____ = $ __
Harness Strap ............. $2.00 X _____ = $ __
Pad Set .................... $54.99 X _____ = $ __
Chest Clip .................... $1.50 X _____ = $ __
Locking Clip ................ $2.50 X _____ = $ __
Base .......................... $99.99 X _____ = $ __
Instructions ................. $0.00
Merchandise Total......................$_______
Shipping and handling:..............$_______
Sales Tax ................................... $_______
(Arizona, California, Georgia, Indiana, Missouri,
South Carolina, and Texas residents add applicable sales
tax.)
Grand Total ................................ $_______
No shipping and handling on instructions for quantities under
6. Add $.50 for each instruction over 6, then add applicable
shipping and handling.
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CUT ON DOTTED LINE
Fill Out For Credit Card
Visa
Mastercard
Card Exp.
Date:____________________
Cardholder’s
Name:________________
Card
Number:_____________________
Signature_____________________
Up to $25.00 .............$5.95
$25.01 to $50.00 ......$6.95
$50.01 to $75.00 ......$8.95
$75.01 to $100.00 ....$9.95
$100.01 to $150.00 ..$10.95
$150.01 to $200.00 ..$11.95
$200.01 and up ........$13.95
Outside USA and Canada $10.00