ORDER
FREE SHIPPING!
Name:________________
Shipping Address:
Phone:________________
_____________________
_____________________
Pet’s
Name________________________ Date__________
HEARTGARD PLUS (6 PACKS) QUANTITY ORDERED
BLUE (under 25 lbs)
$30.00 ___________
Refills of other medications may
GREEN (25-50 lbs)
$40.00
___________
be available by mail. Call with
BROWN (51-100 lbs)
$48.00 ___________
any questions.
FRONTLINE PLUS (3 PACKS)
**IMPORTANT**
SMALL DOG
(under 22 lbs)
$47.00 ___________
We must have seen your
animal
MEDIUM DOG
(23-44 lbs)
$48.00 ___________
before we can send out
any
LARGE DOG
(45-88 lbs)
$52.00
___________
medication.
EX. LARGE
DOG (89-132 lbs)
$53.00
___________
CAT
$46.00
___________
MAIL OR CALL:
REVOLUTION
(CATS)
N.
SMALL (<5 lbs) 3 pack
$48.00 ___________
(936) 399-6017
REGULAR (5.1-15 lbs)
(713) 492-8045
3 pack
$48.00 ___________
6 pack
$85.00
___________
COMFORTIS (flea pill for DOGS only)
5 lbs- 10
lbs
3 mo
$53.00
_________ 6 mo $93.00 __________
10.1
lbs- 20 lbs 3 mo
$54.00 _________ 6 mo $94.00 __________
20.1 lbs- 40
lbs 3 mo $55.00 _________ 6 mo $95.00 __________
40.1
lbs- 60 lbs 3 mo $56.00 _________ 6 mo $96.00 __________
60.1 lbs- 120
lbs 3 mo $57.00 _________ 6 mo $97.00 __________
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.