SelfServeDogWash.com ORDER FORM Please type in the information requested below. Click the "submit" button, or print and mail or fax to address/number below. 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! Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: Item: Quantity: 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).
