NAME: ____________________________________________ E-MAIL: ____________________

STREET/ APT#: ________________________________________________________________

CITY: __________________________________ STATE: ______  ZIP CODE: _______________

ARE YOU LOOKING FOR PET TAGS?  If so, use the DIFFERENT form- HERE!
ARE YOU LOOKING FOR FASHION TAGS? If so please use- THIS FORM!

Here's How To Order! CHOOSE FROM EITHER OF THE 2 SIZES AVAILABLE. SMALLER TAG CAN ONLY BE MARKED ON ONE SIDE. LARGER CAN HAVE A SHORT MESSAGE ON THE FRONT AND MORE ON THE BACK. EACH TAG ORDERED COMES WITH A  1/2 INCH SPLIT RING.

Tag#1    LARGE? _________   OR  SMALL?_________
INSCRIPTION:
(side A) ___________________________________________________________________________
(side B) ___________________________________________________________________________

Tag#2    LARGE? _________   OR  SMALL?_________
INSCRIPTION:
(side A) ___________________________________________________________________________
(side B) ___________________________________________________________________________

Tag#3    LARGE? _________   OR  SMALL?_________
INSCRIPTION:
(side A) ___________________________________________________________________________
(side B) ___________________________________________________________________________

Neckchains are available for $1.00.. We offer #3 Beaded Chain, #6 Beaded Chain and Rawhide neckchains
in 2 foot lengths, including an extra large jumpring with each.

TOTAL #  SMALL TAGS        ____@ $6. 00= $_______

TOTAL #  LARGE  TAGS        ____@ $6. 50= $_______
(includes a 1/2" split ring with each tag)

TOTAL # NECKCHAINS           _____@ $1.00= $_______
Let me know which style neckchain(s) you want here     _________________________________
or WRITE ME BACK with your specifications. Thanks!

                                                                      TOTAL  $__________ ENCLOSED FOR THIS ENTIRE ORDER

        PLEASE NOTIFY ME OF SPECIAL OFFERS AND NEW PRODUCTS FROM MICHIGAN LASERMARK!