Greyhound Supplies Order Blank

785-263-4660 8 a.m. - 5 p.m. Central Monday through Friday, 785-263-4689 Fax

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NGA, Supplies, P.O. Box 543, Abilene, KS 67410

Enclose check (payable to National Greyhound Association), money order or Visa/Master Card number and expiration date.

This form will NOT be sent e-mail.

Print This Form-Fax, Mail, Phone to NGA
Item number	Quantity	Description, color, size	Price
1	-	-	-
2	-	-	-
3	-	-	-
4	-	-	-
5	-	-	-
6	-	-	-
7	-	-	-
8	-	-	-
9	-	-	-

Subtotal		_________
Shipping	See table below	_________
Total	Shipping is included in Review subscription	_________

Name:_________________________________________________________

Address:_______________________________________________________

Address required. We cannot ship to a P.O. Box.

City:______________________________State:______Zip Code_________

_____________________________________________________
If in Kansas, County (if outside city limits) for sales tax purposes.

Phone #:______________________E-mail__________________________

Credit Card (check one) Visa____Master Card____

Card #________________________________VIN____Exp. Date_________
The VIN is the 3 digit number on the back of the card.

Billing address if different from shipping

Address:________________________________________________________

City:________________________________State:______Zip Code_________

First, print this form. Fill it out. Mail or Fax to NGA.

Shipping
Under $29.99 ..................................$7 $30 to $49.99................................$8 $50 to $74.99................................$9 $75 to $99.99................................$10 Over $100......................................$11 $11 per $100	International Orders Require Additional Shipping

785-263-4660 - FAX 785-263-4689

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