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<title>Bandana Order Form</title>
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<p align="center"><b><font size="5" face="Arial">Bandana Order Form</font></b></p>

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      <td width="50%">&nbsp;</td>
    </tr>
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      <td width="50%"><font face="Arial" size="2"><b>Name:&nbsp;
        ___________________________________________</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>Address:&nbsp;
        _________________________________________</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>City:&nbsp;
        ____________________________________________</b></font></td>
    </tr>
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      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>State:&nbsp;
        _________________&nbsp; Zip Code:&nbsp; ________________</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>Email address:&nbsp;
        ____________________________________</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>Quantity: ________&nbsp; Price:&nbsp;
        __________&nbsp; Total:&nbsp;
        ________________</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2" COLOR="#000000"><b>Pack of 6 assorted bandanas&nbsp;&nbsp;&nbsp;
        @ $12.00 = $__________________</b></font></td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2" COLOR="#000000"><b>(+ 1 FREE &quot;Chi
      Gang&quot; bandana)</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2" COLOR="#000000"><b>Pack of 3 assorted bandanas&nbsp;&nbsp;&nbsp;
        @ $6.00 = $___________________</b></font></td>
    </tr>
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      <td width="50%">&nbsp;</td>
    </tr>
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      <td width="50%"><font face="Arial" size="2"><b>Total Enclosed:&nbsp;
        ______________________</b></font></td>
    </tr>
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      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>Please indicate for:&nbsp;
        ____Male&nbsp;&nbsp;&nbsp; ____Female&nbsp;&nbsp; ____Both</b></font></td>
    </tr>
    <tr>
      <td width="50%">&nbsp;</td>
    </tr>
    <tr>
      <td width="50%"><font face="Arial" size="2"><b>Please indicate the color
        of your dog(s):&nbsp; ______________________________________</b></font>
        <p align="center"><font face="Arial" size="2"><b><font color="#0000FF">Mail
        completed order form and check made out to CRT to:</font><br>
        Carole Kriste<br>
        3939 Virginia Road, #111<br>
        Long Beach, CA&nbsp; 90807</b></font>
        </p>
        <p align="center"><font face="Arial" size="2"><b>Please also include a
        self address stamped envelope for the postage amount!<br>
        60 cents for the 6-pack and 37 cents for the 3-pack</b></font><br>
        </p>
        <p align="center"><font face="Arial" size="2"><b>Please email <a href="mailto:CKriste@aol.com">CKriste@aol.com</a>
        for questions!</b></font></p>
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