First Name  Last Name

Address 

City          State AK AL AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY      Zip Code

Out of U.S. Address  

       Phone      

       Email    

       How did you hear about Animal Connection? If a specific person referred you, please let
        me know their name or email address.

Total booklets ordered                      1 2 3
If you wish to order more than 3 booklets,
contact Animal Connection at AnimalConn@aol.com.

        $6.50 per booklet                                  $ 6.50 $13.00 $19.50

        Shipping  $1.31 per booklet                        $ 1.31 $ 2.62 $ 3.93
            (Order more than 3 booklets or if you are outside the U.S. contact us for shipping charges at AnimalConn@aol.com)

 Texas residents add $.54 per booklet             $0 $ .54 $ 1.08 $ 1.62

        Total                                            $

        Payment will be provided by:

              PayPal.com  Send PayPal credit card or debit card payments to AnimalConn@aol.com.                 

                Check/Money Order