SelfServeDogWash.com ORDER FORM

1. Please type in the information requested below.
2. Click the "submit" button, or print and mail or fax to address/number below.
3. Print the page for your records.

We will e-mail you with the total amount including shipping. You can then mail a check or money order (U.S. funds) to:

SelfServeDogWash.com
11 Penshire Circle
Penfield, NY 14526

Phone: (585) 388-0216
Fax: (585) 388-6996

Payments made via check, money order, or wire transfer will receive a discount of 3% off all merchandise.


We absolutely do not share, sell, or trade customer e-mail addresses or other personal information!

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Include any special instructions or comments here:



Name: 
Shipping Address line 1: 
Shipping Address line 2: 
Shipping Address line 3: 
Is this a business address? 

E-mail Address: 
Phone: 

   This form will be sent via your e-mail, so please make sure it goes out (rather than remaining in your e-mail program's outbox).

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