VETS SUPPLY LINE
10550 County Road 81, Suite 218
Maple Grove MN 55369
Phone: (763) 425-0911 Fax: (763) 425-2577
To Order Toll Free 1-800-864-5062
Hours: 8:00 am to 5:00 pm Central Time Monday - Friday
Name:
Street Address:
City, State & Zip:
Telephone Number:
Email address:
Payment Type:   Check   Money Order   VISA   MasterCard   Discover   American Express
Credit Card #:
Expiration Date:

Customer Signature:
Please print neat and clearly!
QUANTITY PRODUCT CODE SIZE/COLOR DESCRIPTION TOTAL
         
         
         
         
         
         
         
         
         
         
         
         
         
         
      SHIPPING  
      SUBTOTAL  
      MINNESOTA RESIDENTS ADD 6.875% TAX, MINNESOTA HENNEPIN COUNTY RESIDENTS ADD 7.275% TAX, MINNESOTA ANOKA, DAKOTA, RAMSEY & WASHINGTON COUNTY RESIDENTS ADD 7.125% TAX  
      TOTAL DUE  
Insurance, Order Processing and Shipping Charges
Order Total up to $10.00 $10.01 - $25.00 $25.01 - $50.00 $50.01 - $75.00 $75.01 - $100.00 $100.01 - $125.00 $125.01 - $150.00 $150.01 & Up
Shipping Charge $2.25 $5.25 $7.25 $8.25 $9.25 $13.50 $15.50 $16.50