City  _______________________________________

State, Zip Code  __________________

Phone        ___________________________________

Email Address ________________________________

	Item Description	Size / Color	Quantity	X	Price	=	Total Cost
_______	____________________________	__________	______	X	______	=	________
________	________________________________	__________	______	X	______	=	________
________	________________________________	__________	______	X	______	=	________
________	________________________________	__________	______	X	______	=	________
________	________________________________	__________	______	X	______	=	________
________	________________________________	__________	______	X	______	=	________

Shipping and Handling Charges Order Amount S/H Charges Orders under $15.00 $5.15 Orders of $15.01 to $25.00 $6.15 Orders of $25.01 to $50.00 $8.15 Orders of $50.01 to $75.00 $8.95 Orders of $75.01 to $100.00 $10.15 Orders of $100.01 to $125.00 $11.15 Orders of $125.01 to $150.00 $12.15 Orders of $150.01 to $200.00 $13.15 Orders above or equal to $200.01 $14.15

Subtotal______________ Shipping Cost_________ TN Sales Tax 7%_______ (TN Residence only) Total Cost____________

Orders for Canada, Alaska and Hawaii please email us at sales@coondogwear.com or call 931-332-6515 for your shipping rates. No UPS gound shipping is available to these locations.