US Products Company • Order Form

Order Form

Fill out the order form below. Print, and mail with payment to: US Products Company, P.O. Box 652 LaGrange Illinois 60525

	Product		Shipping Information
	The Parking Valet	color: blue yellow	First Name, Last Name
	quantity:	$4.99
	Shoe & Boot Protector		Address
	quantity:	$1.99
	The Pain Reliever		City, State, zip/postal code
	quantity:	$9.99
	Doggy Poop Sheet
	quantity:	$9.99

	subtotal:	$
	shipping & handling:	$1.99 (covers any 2 items shipped)
	total:	$