"CANINE ELBOW PROTECTIVE SLEEVE"

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NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE NUMBER: EMAIL ADDRESS:
BREED: DOG'S WEIGHT:
DOG'S NAME: DOG'S AGE:
NOTES:

Canine Elbow Protective Sleeve
Shipping and Handling
6% Michigan Tax
Total                         



IF VETERINARIAN'S OFFICE, PLEASE FILL OUT THE FOLLOWING:
VETERINARIAN'S OFFICE: CITY/STATE:
VETERINARIAN'S NAME: TAX ID NUMBER

The Canine Elbow Protective Sleeve is shipped via UPS Ground. Please contact Canine Angels, Inc. at (248) 693 0021 or by fax at (248) 693 0358 for pricing and shipping on quantity orders, or any questions regarding this product.