Duke & Fritz - Haute Pet Couture

Print order form.  Fill in information.  Mail or Fax completed order form along with payment to:

Duke & Fritz
15941 S. Harlem Avenue Ste. 107
Tinley Park, IL 60477

Name_______________________________________  Telephone____________________________

Street Address_______________________________  E-Mail Address________________________

City___________________________________  State______________  Zip Code_______________

 Item #               Item Name                  Quantity    Price Each     Total                       Shipping Fees

________|__________________________|________|___________|_________                 Orders:                 Add:

________|__________________________|________|___________|_________                 $0-$100               $5.00

________|__________________________|________|___________|_________                 $100+             FREE SHIPPING

________|__________________________|________|___________|_________                

________|__________________________|________|___________|_________                

                   Illinois Residents Add 7.75% for Sales Tax _________                   

                                                              Add Shipping _________                    

                                                     Total _________ 

Method of Payment:

___  Check or Money Order - Make payable to:  Duke & Fritz

___  Credit Card Order - Fill out and sign the following.

___ Mastercard   ___ Visa   ___ American Express   ___ Discover

Name on Card__________________________________________

Card Number__________________  Expiration Date  __________

Amount $ ___________  Signature ________________________