Order Form

CCHS Store Order Form

Please print out a separate form for each delivery address.
Send completed order form with check or money order to:
Carroll County Humane Society
P.O. Box 384
McKenzie, TN 38201

                   Ordered By                    Ship To (if different than ordered by)
Name

Address

City

State

Zip Code

Phone#

E-mail

Notes:

Please complete a separate order form for each Delivery Address

Quantity Item# Item / Description             Size/Style Color Unit Price Total Price

Total Merchandise Price


Shipping & Handling

GRAND TOTAL

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Carroll County Humane Society
396 Euclid Ave.; P.O. Box 384; Mc Kenzie, Tennessee 38201
PH# 731-352-9950 info@cchspet.org...............=-.......

A Non-Profit ~ No-Kill Animal Shelter