DOGGIE DIAMONDS tm
                                     ORDER FORM


Billing Address                           SHIP TO (if different)

Name                                      Name

_____________________________________     _____________________________________
Address1                                  Address1

_____________________________________     _____________________________________
Address2                                  Address2

_____________________________________     _____________________________________
City                      State  Zip      City                      State  Zip

_________________________ _____ _____     _________________________ _____ _____
Phone (REQUIRED)     Your E-mail Address (IMPORTANT!)

_________________    ________________________________


Qty. Item#  Description        Breed     Color   Size   Pose Unit $   TOTAL $

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Comments -                                   Merchandise Total      ___________

                                              Shipping/Handling      ___________

                                              Personalization        ___________

                                              AZ res. add 8.6% tax   ___________

                                              GRAND TOTAL            ___________

Method of Payment - Check __  Mastercard __  VISA __ Discover __

Name as on Card                  Card Number                   Expiration Date

______________________________   ____________________________  ____/____

  Please send as many forms as necessary for personalization or additional space




                       WITHIN U.S. Shipping/Handling Charges
                          -->  NOT FOR OUTSIDE U.S.! <--
                              Up to $20.00......ADD....$ 5.15
                       $20.01 to $40.00......ADD....$ 8.15
                       $40.01 to $80.00......ADD....$10.65
                     $80.01 to $120.00......ADD....$14.85
                   $120.01 to $160.00......ADD....$18.00
                   $160.01 to $200.00......ADD....$21.00
                     $200.01 and Above.....ADD....$24.00

                     Foreign orders are billed exact charges
                    If paying by check please add 25% to order
                             Excess will be refunded

             Feel free to contact us with any questions or problems
                            info@doggiediamonds.com

          Due to the custom nature of our work please allow 2-4 weeks
                           delivery for most products

                 Doggie Diamonds, P.O. Box 606, Payson, AZ 85547
           800-555-1827 (10 AM - 6 PM MST) ORDERS ONLY PLEASE, USA ONLY
                  Phone / Fax 520-468-8068 for general questions

                            THANK YOU FOR YOUR ORDER!

April 13, 2002