Order Form

Place an order, get a price quote on custom sizes or use the comment box for information.

Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail

Please provide the following ordering information:

SIZE	Dimension	Non-Breathable Duck/Vinyl	Qty	Breathable Nylon	Qty	$ TOTAL
CAGE Small	20" x 20"	$14		$18.50
CAGE Medium	32" x 32"	$22		$37.50
RUN GATE Small	29"W x 50"L	$28		$48.50
RUN GATE Medium	36"W x 50"L	$34		$60
RUN GATE Large	47"W x 50"L	$45		$75
TOTAL Less Shipping					$
Custom Request	Dimension	Make Selection	Qty
Custom 1				To Quote
Custom 2				To Quote
Custom 3				To Quote
Custom 4				To Quote
Custom 5				To Quote
Custom 6				To Quote

After placing your order you will receive an email back with TOTAL ORDER price which includes shipping and/or CUSTOM QUOTE with shipping via email. Payment information will be obtained at that time.

Please provide the following billing/shipping information:

	BILLING
Purchase Order #
Account Name
Street Address
City
State/Province
Zip/Postal Code
Country

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please make any inquiries here:

Place an order, get a price quote on custom sizes or use the comment box for information.

Hushers Division of Felkon, Inc. All rights reserved. Revised: September 24, 2010

Hushers Division of Felkon, Inc.
All rights reserved.
Revised: September 24, 2010