Customer Information

Your Name:         
Mailing Address:   
City:              
State:             
Zip Code:          
e-mail:            

Product Information

Antiqued pewter pins $15.95 -- necklace $17.95 each.

Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    
Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    
Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    
Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    
Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    
Dog Breed:   Qty     Style Standing Gaiting     Type Pin Necklace    

Shipping and Handling

1 - 4 pieces $3.00 --- 5 pieces and up $4.00 --- Total order including shipping:

Method of Payment

Credit Cards --- MasterCard: --- VISA: --- DISCOVER:
Card number: --- Expiration Date: --- Security Code:

Send check or money-order to:
Spittin' Image - 3185 Bluestem Dr N - Mandan, ND - 58554