Order Form
Total Order
Shipping
Charge
Up to $30.00
$5.99
$30.01-$35.00
$7.99
$35.01-$45.00
$8.99
$45.01-$55.00
$9.99
$55.01-$65.00
$10.99
$65.01-$75.00
$11.99
$75.01-$85.00
$12.99
$85.01-$95.00
$13.99
$95.01-$105.00
$14.99
$105.01-$120.00
$15.99
$120.01-$140.00
$16.99
$140.01-$160.00
$17.99
$160.01-$180.00
$18.99
$180.01-$200.00
$19.99
$200.01-$250.00
$22.99
$250.01-$300.00
$26.99
Over 300.00
$30.99
Your email address:
Your name:
Your phone number:

Your complete
mailing address:
Form Of Payment
$
$
$
$
$
$
$
$
$
$
$
Subtotal
8% Tax if in Texas
$
Shipping
$
$
This order form is for mail-order use.  Type the appropriate information in the fields provided and
simply print and mail to:

Asanka Sales
3505 Doolittle Dr.
Arlington, TX 76014

Please make sure to include your e-mail address and a contact number, otherwise we are not
responsible for any changes or delays in your order.  If you need to contact us by phone leave your
name, phone number, and best contact time at 1-800-921-4284.  E-mail contact is
jessica@asankadogs.com .  When ordering by mail, please expect 4-6 weeks delivery time.  If you
send a check (made to the order of Asanka Sales) orders are not processed until check clears.  
Thank you!