ORDER
FREE SHIPPING!
Name:________________ Shipping Address:
Phone:________________ _____________________
_____________________
Pet’s
Name________________________ Date__________
HEARTGARD PLUS (6 PACKS) QUANTITY
ORDERED
BLUE (under
25 lbs) $26.00 ___________
GREEN (25-50
lbs) $34.00 ___________
BROWN
(51-100 lbs) $43.00 ___________
FRONTLINE PLUS (3 PACKS) **IMPORTANT**
SMALL DOG
(under 22 lbs) $45.00 ___________
We must have seen your animal
MEDIUM DOG
(23-44 lbs) $47.00 ___________ before
we can send out any
LARGE DOG
(45-88 lbs) $50.00
___________ medication.
EX. LARGE
DOG (89-132 lbs) $51.00 ___________
CAT $44.00 ___________ MAIL OR CALL:
P.O. Box
356
REVOLUTION (CATS) N. Zulch, TX 77872
SMALL (<5 lbs)
3 pack $45.00 ___________ (936)
399-6017
REGULAR (5.1-15
lbs) (713) 492-8045
3 pack
$45.00 ___________
6 pack $76.00 ___________
COMFORTIS (flea pill for DOGS only) (6 months) Refills of other
medications may
5 lbs- 10
lbs $80.00 __________ be available by mail. Call with
10.1 lbs- 20
lbs $82.00 __________ any
questions.
20.1 lbs- 40
lbs $84.00 __________
40.1 lbs- 60
lbs
$86.00 __________
60.1 lbs-
120 lbs $88.00 __________
CIRCLE METHOD OF
PAYMENT (DO NOT SEND CASH)
CHECK (Include DL# on check) or
MONEY ORDER ENCLOSED
VISA MASTERCARD DISCOVER
CARD #
___________________________expiration__________
Last 3 digits of code on rear of
card__________ card billing zip______
Signature____________________________________________
WE DO NOT AUTHORIZE ANY INTERNET
PHARMACY Rx.