Pet Refuge Guild 2009 Calendar

Name____________________________________________________

Address___________________________________________________

City, State, Zip_____________________________________________

Email_______________________________ Phone________________

Number of Calendars @ $12 each ($10 + $2 shipping)______________

Total____________

Form of payment:       Cash/Check/Credit Card

Credit Card:    Visa___           Master Card___

Cardholder’s name_________________________

Billing address for Credit Card__________________________________

Credit Card #___________________________________

Credit Card Exp. date_______________

Mail Orders to:  Pet Refuge Guild Calendar

Jen Schwartz

58808 Ireland Trail

Mishawaka, IN  46544