Leerburg Printable Order Form

Leerburg Printable Order Form

Fill out form below, print, and mail to:

Leerburg Video
PO Box 218
Menomonie, WI 54751

Product #

Description

Size

Qty.

Price

Sub-Total:

S&H:

Wisconsin Residents - add 5.5% Sales Tax

---->

Sales Tax:

Total:


	UPS Ground for the 48 Continental States:

PRICE SUB-TOTAL	UPS GROUND
$0.00 - $50.00	$9.50
$50.01 - $100.00	$10.50
$100.01 - $150.00	$11.00
$150.01 - $200.00	$12.00
$200.01 - $300.00	$13.00
$300.01 - $375.00	$14.00
$375.01 - Over	$18.00

	*Call 715-235-6502 for 2nd Day and Next Day Rates.

Shipment Method


	* UPS does not deliver to P.O. Boxes

Billing Address of Credit Card

Fields with a * are required

*Name:
*Address:
Address (cont):
*City:
*State/Province:
*Zip/Postal Code:
*Country:
*Home Phone:
Work Phone:

Shipping Address

(If your billing address is the same as your shipping address above, you can check this box and do not need to fill this out section)

*Name:
*Address:
Address (cont):
*City:
*State/Province:
*Zip/Postal Code:
*Country:

Payment Method:

Visa
Mastercard
   Number:
   Expiration Date:
     Verification Number:            Click here to find Verification Number
     Bank the Credit Card is drawn on:
   Billing Address (if different):
Check/Money Order/Cashier checks

When purchasing any product from Leerburg Enterprises, Inc. it is understood that any and all products sold by Leerburg Enterprises, Inc. are sold in Dunn County Wisconsin, USA. Any and all legal action taken against Leerburg Enterprises, Inc. concerning the purchase or use of these products must take place in Dunn County, Wisconsin. If customers do not agree with this policy they should not purchase Leerburg Ent. Inc. products.

Dog Training is never without risk of injury. Do not use any of the products sold by Leerburg Enterprises, Inc. without consulting a local professional. The training methods shown in the Leerburg Ent. Inc. DVD’s are meant to be used with a local instructor or trainer. Leerburg Enterprises, Inc. cannot be held responsible for accidents or injuries to humans and/or animals.

Copyright 2008 Leerburg® Enterprises, Inc. All rights reserved. US Copyright Link. By accessing any information within Leerburg.com, you agree to abide by the Leerburg.com Privacy Policy and Terms of Use.



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