Print This Form and Mail With Remittance

NOTICE:  USE ONE(1) ORDER FORM FOR EACH DOG COLLAR ORDERED IF THE NAME TAG INFORMATION AND/OR COLLAR DESIGN IS DIFFERENT

K.A. Johnson Import Co., Inc.
JAF Station/P.O. Box 7822
New York, N.Y. 10116 U.S.A.

ORDER DETAILS

Collar Style Number

____________________

Collar Price

____________________

Dog's Neck Size

____________________

Collar length(22" to 26")

____________________

 

Add Information For Name Tag

One letter per dash, space between names requires a blank dash, etc.

Your Name:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Street:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Telephone: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

*** Additional name tags are available at a cost of Only US$20.00 shipping and handling included in price (includes solid brass screws for attaching to collar)/ tag ordered with collar is installed with brass rivets.
SHIPPING & HANDLING INCLUDED IN PRICE FOR ORDERS SHIPPED IN THE U.S.

*** US$10.00 S & H EXTRA CHARGE WILL BE CHARGED TO INTERNATIONAL ORDERS ***
Payment Method: Money Order or Check made payable to K.A. Johnson Import Co., Inc., New Jersey

Please do not send cash or personal checks drawn on a foreign account. Payment must be in U.S. Dollars drawn on a U.S. Bank.



Send Payment To:
K.A. Johnson Import Co., Inc.
JAF Station/P.O. Box 7822
New York, N.Y. 10116 U.S.A.

Contact Option: Fax (973) 642-3204
Tel. (973) 242-8474

Send Collar to: (Please Print)

Name_____________________________________________________________

Address__________________________________________________________

Address__________________________________________________________

City_____________________________________________________________

State/Province___________________________________________________

ZIP/POST CODE:___________________________________________________

Country__________________________________________________________

Telephone________________________________________________________

Email____________________________________________________________

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