AKC DOG BOOK ORDER FORM
PERSON ORDERING:
NAME: _______________________________________________________________
MAILING ADDRESS: ___________________________________________________
CITY: ____________________________ STATE: ______ ZIP: ________________
EMAIL: _______________________________________________________________
TELEPHONE: __________________________________________________________
BOOKS WILL BE MAILED TO THIS ADDRESS
Number of books requested: _________ x $12.00 = _________________
(Total Amount Due)
METHOD OF PAYMENT: (prices include S&H)
______ Check - one check per order please
(Make payable to Washington State 4-H Foundation)
______ VISA ______ MasterCard
Card# ______________________________________ Exp date: _____ / _____
Name on card: _____________________________________________________
Signature: _________________________________________________________
Send order to:
Tony Dell
4-H Foundation Office
WSU-Puyallup
2606 W. Pioneer
Puyallup, WA 98371-4998
Questions? adell@wsu.edu or phone: 253-445-4583