D&M Groomers Outlet   

Your Address (Please print clearly or use return address label):
Name:_____________________________________________________
Street:_____________________________________________________
Apt#: ________________ P.O.Box:_______________________________
City:________________________State:______Zip Code______________
Telephone: (________)________________________________________
Contact Name:_______________________________________________
Email Address:_______________________________________________

# Of Items:
________Clipper Blades (Dogs & Human) @ $5.00 each set $___________
________Large Animal clipper blades @ $6.00 each set       $___________
________Pet Grooming Scissors @ $75.00 each                     $___________
________Convex Hi-End Pet Grooming @ $12.00 each        $___________
________Other______________________________  $___________
________Other______________________________  $___________
________Other______________________________  $___________
________Other______________________________  $___________
                                                                                     SUBTOTAL $___________
                                                            SHIPPING & HANDLING $                    7.50
                                                      PLUS INSURANCE(optional) $ ___________
                                                                                   TOTAL DUE $ ___________

_______ Clipper Repair, most are $15.00, plus parts (see Service Prices)

Please Check Payment Method:
___Check     ___Money Order (Check or Money Order must be included)
___Visa        ___MasterCard      ___Discover (We will call for Credit Card Number)

What would be the best time to call for Credit Card Number _____________ AM or PM ?

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