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 $15.00

$15.01 - $30.00

$30.01 - $45.00

$45.01 - $70.00

$70.01 - $100.00

$100.01 & Over

Display or Flag Case

USPS PTY Shipping

Shipping Charge

$3.95

$4.95

$5.95

$6.95

$7.95

$9.25

$19.95

$9.95