Gift Shop Order Form Phone: 713.667.3804    Fax: 713.667.9938
Email: giftshop@gpahouston.org
Ship To:
First Name
Last Name
Address
City
State/Province
Postal Code
Bill To:
First Name
Last Name
Email
Daytime Phone
Payment Method
Check
 Money Order
Visa
 MasterCard
Credit Card #    
3-digit Security Code (on back of card)
Expiration Date (month/year)
Order Details:
Item # Description Size Color Qty Item Price Total Price
Subtotal of Items   
Postage (see chart below)  +
Adjusted Subtotal  =
If shipped to Texas add sales tax (8.25%)  +
Order Total  =
Comments and Additional Instructions:
Completed Forms:
Please mail completed order form along with check or money order to the following address:

Greyhound Pets of America Houston
Attn: Gift Shop Orders
PO Box 741176
Houston, TX 77274
 		Shipping Rates:
For orders within the continental United States:

$ 0.00 - $20.00 = $ 5.95
$20.01 - $35.00 = $ 7.95
$35.01 - $50.00 = $ 9.95
$50.01 - $75.00 = $11.95
$75.01 - and over = $13.95

For orders outside of the continental United States please contact us by phone or email.
Copyright 2004 Greyhound Pets of America - Houston