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      DOG FOOD ORDER FORM

 

        Today's date


         Please provide the following contact information:

First Name
Last Name
Home Phone

 

       For your convenience, would you like to place the same order as last time ... ?

Yes No

 

        Select any of the following pet food items:

Hills Science Diet bagged dog food

Type of bagged dog food.

What SIZE bag of dog food would you like ... ?

lbs.

HOW MANY bags of dog food ... ?



 

Hills Science Diet canned dog food

Type of canned dog food.

What SIZE can of dog food would you like ... ?

ozs.

HOW MANY cans of dog food would you like ... ?

 

          Comments?


         


         Please allow up to 48 hours for your order to be filled.
         We will call you when your order is ready or if we have any questions.


 


 

WELCOME    DOCTORS    SERVICES    LOCATION & DIRECTIONS     EMERGENCIES    FORMS & LINKS 

Antigua Veterinary Practice
Eric Searcy DVM and John Yselonia DVM
195 San Marco Ave.
St. Augustine, Florida

904-824-1414

Fax 904-824-7888


doctors@antiguavet.com

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