Maltese-Babies.com

Printable Order Form   (see instructions below form)                                                      We Accept:     

Bill To:
Name:  
Address:  
City, State:  
Zip:  
Phone:  
Email:  
 
Item   Price Total

1 Maltese Puppy

     
 

For c. cards, add $20.00

processing fee

 
  Sub-Total  
  minus deposit pd.  
  Total  
Payment Method (circle):  CASH / CHECK  /  MONEY ORDER  /  VISA  /  MC  /  PayPal
                                       

1. Please make checks & money orders payable to "Joanne M. Conta"
2. Our PayPal email address is:  info@maltese-babies.com.

3. Please send check payments at least 2 weeks before taking puppy.

Please add the following information for credit card orders:


Card# _________________________________    Exp. Date: ____ / ____   CVV:____

EXACT Name on Card: _________________________________________

Signature ____________________________________________________
 

Note: When a payment is made to Maltese-Babies.com using a credit card, the name on your charge statement will be North Harmony Design.