Print this ORDER FORM, fill out, mail in. Make checks or money order payable to U.S.P.C.A. and mailed to:
Brent Kock
10986 Hawthorn Drive
Clive, Iowa 50325
(515) 419-2326
| Item No. | Name of Item | Price | Total Qty. | Total |
|---|---|---|---|---|
| 1 | USPCA Trailer Hitch Cover | $8.00 Puppy Paw Only |
Got Dog T-Shirt | $15.00 Circle Size: Adult Sizes: Pink - Small, Medium, Large, XL Gray - Small, Large, XL, XXL (Design will change when this supply is gone) |
| USPCA Embroidered Polo Shirt | $25.00 Cirlce One: M, L, XL, XXL Circle One: Black, Navy |
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| USPCA Portfolio | $15.00 | |||
| USPCA Pens | $2.00 | |||
| Keychain / Bottle Opener | $3.00 Circle One: Black, Blue, Red |
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| 3 | USPCA Challenge Coin | $10.00 | ||
| 5 | Refillable Thermal Cruiser Mug - 16oz. | $4.00 |
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| 6 | U.S.P.C.A. Ceramic Mug | $5.00 | ||
| 7 | U.S.P.C.A. BADGE | $6.00 | ||
| 8 | Certification Bars | $3.00 List bars desired: PDI Certified, Narcotic Cert, Nat'l judge, Regional Judge, Bomb Cert |
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| 9 | Certified PD I Medal (Pewter) | $4.00 | ||
| 10 | K-9 Insignia Pins | $6.00/pr Circle One: Gold Silver Black |
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| 11 | U.S.P.C.A. Jewelry (Logo) | $4.00 Circle One: Tie Tack Lapel Pin Stick Pin |
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| 12 | Collar Badge Holder (Leather) | $5.00 | ||
| 13 | Embroidered U.S.P.C.A. Patch | $4.00 | ||
| 14 | License Plate Frame (Metal) | $4.00 | ||
| 15 | License Plate Frame (Plastic) | $3.00 | ||
| 18 | U.S.P.C.A. Jewelry (Round – Gold or Silver) | $4.00 Circle One: Gold Silver |
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| 19 | Dog Paw Window Sticker | $2.00 ea. Circle One: K9 Unit Plain (no K9 unit) |
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| 21 | USPCA Navy Blue T-shirt | $4.00 Youth XLarge Adult Sizes: XXL |
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| USPCA 40th Anniversary Knife | $50.00 (Only 8 left) | |||
| Future K9 T-shirt | $13.00 Circle Size: Youth Only: XS, S, M, L |
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| Total Merchandise | ||||
| Shipping | $5.00 | |||
| Total |
Mailing Instructions:
Name_____________________________________________________________
Address___________________________________________________________
City, State, Zip ____________________________________________________
Phone No._________________________________________________________
No Credit Cards or C.O.D. orders please. Most orders shipped regular first class mail. Checks or Money Orders should be made payable to: U.S.P.C.A. and mailed to Brent Kock, 10986 Hawthorn Drive, Clive, Iowa 50325, (515) 419-2326 Note: On all items ordered in quantity discount there may be additional shipping billed to purchaser. Our prices don't allow us to cover the extra freight.