Service Dog Tag order form.ppt

1 We need some basic info so we can complete your tags:Thank you Information (Personal Checks May Also Be Mailed)Upon receipt of your order , one of our customer Service reps will callyou to take your credit or debit card number securely over the phoneCredit Card Holder s AddressStreet:_____ City: _____State: _____ Zip: _____ Telephone Number (Do Not Leave Blank):_____Shipping Address (Same as above)Name: _____Street: _____ City: _____ State: _____ Zip: _____ Email _____Send completed orderform and photo to: Service Dog Tags14090 FM 2920 Suite G-353 Tomball, TX 77377 You can also fax this form to1-888-215-5682 or calland place your order securely over the phone at 877-770-0789 with our Customer Service Assistant Tag InformationDog s Name: _____ 25 Character MaxOwner s Name: _____ 25 Character MaxCity, State, Zip: _____ 25 Character MaxPhone (You can enter your number or, leave it blank) _____By creating and selling Service animal tags or emotional support animal tags for animals and their handlers, Service Dog Tags and it's employees do not claim to legally certify these animals or the purchaser of these tags.

2 Nor do we have or claim to have the medical and/or legal authority or knowledge to give recommendations on the qualifications of Service animals, emotional support animals or their handler. We do not guarantee that the use of our tags will enforce compliance with the ADA or any other federal, state and local law regarding the use of Service animals or emotional support animals. If you have any question concerning the legality of your Service animal or emotional support animal in relation to compliance with the ADA, or any other laws pertaining to Service animals or emotional support animals and the laws regarding access we recommend you contact experts in your area. The following web site contains information regarding Service animals: I agree to these termsSignature is required to process orderOrder Date can mail or fax this form . Fax # 1-888-215-5682>> or call and place your order securely over the phone at 877-770-0789 Circle tag style Service Dog (3 Sm 1 Lrg) Service Dog Large (2 Lrg) Service Dog In Training (2 Lrg) Emotional Support Animal (2 Lrg) Emotional Support Animal (3 Sm 1 Lrg) Seizure Alert (2 Lrg) Seizure Alert (3 Sm 1 Lrg) Medical Alert (2 Lrg) Medical Alert (3 Sm 1 Lrg) Guide Dog (2 Lrg) Hearing Assistance (2 Lrg) Hearing Assistance (3 Sm 1 Lrg) Working Dog (2 Lrg) Mobility Dog (2 Lrg)You can email photos to set of tags x $ ea = _____Super-Saver (For LRG Tags) $ additional = _____Heavy Duty Large Tags $ = _____50 ADA Info Cards $ = _____Shipping for any number of items $ to the same address = $ $_____DO NOT FAX toHeavy-Duty Tags $3(For Large Tags Only)We found a source of special dual-polymer tags that can take a real beating, without breaking.

3 These tags are the same thickness as our regular tags but the special plastics make them more durable. Upgrade for only $3 Upgrade to Super-Saver Deal for an additional $ (For Large Tags Only)We put together an upgrade with our best options at a special low package price. After you've created your card add this upgrade. You get an extended warranty that covers full replacement of damaged tags for 18 months instead of the standard 6 (a replacement value of $ value). We also print your tags on super-strong dual polymer tags (a $3 upgrade). You get a security hologram laminated to your wallet card (a $ upgrade). We ll also email you a digital copy of your tag to keep on your computer. The digital tag can also be uploaded to most smart phones for you to always have with you (a $ upgrade). You get all this (A Total Value of $ ) all for only $ You will need to provide your credit card verification numberDO NOT FAX PHOTOSE mail or mail in photosYour photo will NOT be returnedNo Money OrdersNot for Emotional Support AnimalsYou can mail or fax this form .

4 Fax # 1-888-486-2296or call and place your order over the phone at 281-660-1600