Mouse Pad Order Form

Ann Rule Mouse Pads--$8.50 apiece (Includes Postage) All profits go to charity.
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Please send a check made out to The Des Moines Pet Center --$8.50 for each mouse pad ordered and this order form--and send them to Ann Rule, P.O. Box 98846, Seattle, WA 98198. As soon as she receives them, she will send your signed mouse pads. The cost includes postage.

Because of bookkeeping complications, please fill in and print this form using the "Print this Page" button below:

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

E-mail

Please provide the following ordering information:

QTY

To have mouse pad signed, please include name(s) below:

Thank You! As soon as we receive this form together with your check, your mouse pads will be in the mail.

For more information, please go to www.petfinder.org/shelters/WA181.html or Email Ann Rule

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail