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A to Z - CAPITALS

0 to 9
.

point
,

comma
/

slash
-

hyphen
'

apostrophe

@

at

COLOURS SILENCERS

Black Bleu
Yellow Green
Pink Red

Only to be filled out in case you order a set of US ARMY DOGTAGS

TEXT identical first tag

PAYMENT

I will transfer the total amount :

A US-ARMY DOGTAGS : 13,90 EURO*
B ID-TAG : 9,90 EURO*
C PET TAG : 8,90 EURO*

* VAT and deliverycosts included

ACCESSORIES (These can only be ordered together with A, B or C)
1x korte ketting 1,30 EURO
 1x lange ketting 3,25 EURO
 1x silencer 1,20 EURO

Please indicate the quantity in "remark"

Dexia Bank - Antwerp : 789-5819577-80

Account in name of

J.Adriaens
Duinstraat 111
2060 ANTWERP (Belgium)

info@dogtag.be

PERSONAL DATA (* obligatory)

Name :

 *
Address : *
Address : *
County/Province : *
Postal Code *
Country *
Phone Number *
Email : *
Date of birth :
Remark(s) :

Print this sheet for your personal file