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Date____________       Order Form           Patent Pending

Name _________________________________________________

Delivery address ________________________________________

City _________________________ State _______ Zip _________

Daytime Phone________________ Email_____________________

Type of fence (*chain-link, wood, etc) ______________________

*Chain-link: number of posts         ________                              

Linear feet (including gates)         ________ x $2.00   = _______

Number of gates              Single  ________ x $15.00 = _______

                                     Double ________ x $25.00 = _______

Number of tree barriers               ________ x $30.00 = _______

                                                               Subtotal: _______

Tax (Texas residents only):                           8.25% = _______

Shipping & handling                                                 _$23.00_

                                                                TOTAL $________

How did you hear about us? _____________________________________

Address/Phone if referred by an organization or business: __________________

_______________________________________________________

We accept credit cards, checks & money orders. Please mail, fax or call your order to:

Affordable Cat Fence Company
722 West Kings Hwy, San Antonio. TX 78212

210-736-CATS (2287)       1-888-840-CATS       FAX 210-737-6041

Visa___     Mastercard___     American-Express___     Discover___

Name and billing address for credit card if different from order form:

__________________________________________________________________________

__________________________________________________________________________

Card#_______________________________________________ Month_____ Year_______