NAME: ____________________________________________________________

ADDRESS:__________________________________________________________

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EMAIL: _______________________________________

Description Quantity Size Total

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Shipping and Handling - $5.00 flat rate (free shipping for stickers and cards)

Personal Checks, Money Orders only - Payable to Carolina Border Collie Rescue

Please send order form to:

Carolina Border Collie Rescue

c/o Nancy Solum

PO Box 996

Franklinton, North Carolina 27525