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Shipping Information

First Name

Last Name

Email

Phone

Address

Apartment, suite, etc. (optional)

City

State

ZIP Code

Country

Billing Information

Same as shipping address

Payment Method

💳Credit Card

Card Number

Expiration Date

CVV

Name on Card

PayPal

Order Notes (Optional)

Notes

Order Summary

Premium Dog Food

2

Premium Dog Food

$39.99 x 2

$79.98

Comfortable Dog Bed

1

Comfortable Dog Bed

$69.99 x 1

$69.99

Interactive Dog Toy

3

Interactive Dog Toy

$19.99 x 3

$59.97

Subtotal$209.94

Shipping$5.99

Tax$16.80

Total$232.73