Fax this form to
Louis B. Meadows
DognoseID
5325 Etiwanda Ave. Suite 103
Tarzana, CA 91356
Just fill out this form and fax back
Fax - (818) 776-9141 or call (818) 776-1810
Contact: _________________________________________ Title: ___________________________________________
Company: _________________________________________ Address: ________________________________________
City: __________________________________ State: ________________________ Zip Code: _____________________
Phone: _________________________________________________
Fax: ___________________________________
Fax: ___________________________________Email: _________________________________________________
DogNoseID wants every customer to have the lowest price possible.
At DogNoseID, we give every customer a quantity discount!
DogNoseID ...man's best friend when it comes to fingerprint pads!
Product Number & Description
Price Each
Total
Quantity
DnID # 2.0 2" Round
$ 2.50
$
DnID # 3.5 3" by 5" Pad
$ 19.00
Shipping
DnID # 1.5 1 1/2" Round
$ 2.25
$
Minimum Quantity
6
2
6
No Ink No Mess
DogNoseID
gives your
customers
"CLEAN FINGERS"
everytime.
Made in the U.S.A.
$
| ||||
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Ca. Sales Tax
Total
$3.00
Name:________________________________ Signature:________________________________________________
Date:_________________________________
