Coco's Canine Cuisine

Read stories like Moe's in our testimonials

COCO'S SECURE ORDER FORM

Please complete the information below and press the SUBMIT button to send your order to us. You can also print this page and fax it to us at 760-772-1549 or mail it to us at:

Coco's Canine Cuisine
80610 Avenida Los Padres
Indio, CA 92203

Please provide the following contact information:

*Name

*Street address

Address (cont.)

*City

*State/Province

*Zip/Postal code

*Country

Work Phone

*Home Phone

*E-mail

* indicates that this is a required field

Please provide the following ordering information:
(Note: if ordering by the case, remove quantity value for number of bags.)

Number of bags Description Price

Coco's Canine Cuisine 24 oz. Bag
(min. order 2 bags @ $9.35 each)
Each bag contains two packets $

Number of cases Description Price

Coco's Canine Cuisine case @ $101.10
(a savings of more than 10%)
Each case contains 24 packets $

Number of large bags Description Price

Coco's Canine Cuisine 48 oz. Large Bag
(min. order 2 bags @ $16.95 each) $

Number of large cases Description Price

Coco's Canine Cuisine case @ $97.80
(a savings of more than 10%)
Each case contains 6 large bags $

*SubTotal $

CA residents add 7.75% sales tax (x .0775)
$

Shipping and handling ($6.95 for first 2 bags, $.60 ea. addtl. bag, $12.95 per case) $

*Total $

Method of Payment:

Check or Money Order (Please print this page and mail it in with your payment.)

Credit Card/Debit Card

Credit card

Cardholder name

Card number

Expiration date

Please allow 7 to 10 days for delivery.

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