2004 RABIES TAG 
ORDER FORM
The new RED HEART shape is
recommended by NASPHV for 2004.

I need the 2003 Green Bell Tag

 rabies tag
Please fill in the blanks
  2004  
  RABIES VACC  
Serial Number
Row 1 (max 14 characters)
Row 2 (max 12 characters)
Row 3 (max 11 characters)
Row 4 (max 9 characters)
Row 5 (max 4 characters)
 DELIVERY ADDRESS
UPS requires a street address
Name
Company
Street
City 
State Zip
Phone
Fax
email
OVER 100 SHAPES AVAILABLE
I prefer a different shape tag, please send me a catalog.
QUANTITY ITEMS PRICE WEIGHT
TAGS
Number Series will have leading zeros unless otherwise requested
Starting Number Ending Number
MATERIAL
.050 REDALUMINUM
BRASS Or Choose Other Color
Orange
Gold
Green
Blue
Purple
Plain
STAINLESS STEEL
ATTACHMENTS
Links
Rings
PACKING
Standard 
100 Tags per wire		 STRIP-PAK
1 Tag and 1
Attachment to
a Plastic Bag. 
(Specify Link
or Ring)
SUBTOTAL
KY Customers add 6% Sales Tax
TOTAL
PAYMENT METHOD
(Our tags are custom manufactured, please allow a minimum of three weeks for delivery)
Check Enclosed for $ 
If you'd like to open an account, check here and we'll fax or mail a credit application.
Bill Us: Acct. No. 
(if you have ordered from us before on a cash basis and wish to have an open account, we need you to send for a credit application. Please allow 4 to 6 weeks for processing.)
Mastercard  Card Number 
Visa Expiration Date: Month/Year 
Discover  
Cardholder's Name
Signature
Tag Prices

Each
Add'l
100
ADD
 Attachments & Weight
per 100		  
Packing 100 200 300 400 500 600 700 800 900 1000
Links 1/2 lb. 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 7.11 0.71
Rings 1/2 lb. 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 1.00
Strip-Pak packing   5.00 10.00 15.00 20.00 20.00 24.00 28.00 32.00 36.00 34.00 3.40
Standard packing - No Charge Click here to return to order form.
Shipping and Handling Charges
Zone 1
$.30/lb.		   Zone 2
$.40/lb.		   Zone 3
$.50/lb.		   Multiply 
weight
times
zone then
add $4 for
Total
Shipping &
Handling		 Total lbs. Weight
AL AR GA IA CT DC DE AZ CA
IL IN KY NJ FL KS MA CO ID Zone Charge
X $ 
NY MD MI MO ME MN ND MT NM
MS NC OH PA NH NE OK NV OR Total Shipping
/Handling
SC TN VA WI LA RI SD UT WA + $4.00 =
WV       TX VT   WY   Click here to return to order form.
 




 

 


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