Golden Retriver Rescue of Central PA, Inc.

P. O. Box 397

Centre Hall, PA 16828

 

Item

Size/Color

(if applicable)

Number Ordered

Price

       
       
       
       
       
       
       
       
       
       
       

Total Cost $ ______________

Shipping $ _____________

Total Due $ ______________

Shipping Information:

Name ________________________________________

Address ______________________________________

 

 

Phone/E-mail (in case of question) ___________________________________________