ANIMAL FRIENDS OF BARBOUR COUNTY

Commemorative Marble Tile Order Form
Name___________________________________________________________________________

Company Name___________________________________________________________________

Address_________________________________________________________________________

City, State, Zip Code_______________________________________________________________

Daytime Phone__________________________  Email____________________________________
Tiles are 8" x 8" green marble (with varying hues) and gold color engraving.

                            Check which tile version you are ordering:                       (All text and symbols will be centered.)

                                           ____6 lines of text without the cat paw/dog paw symbol for $150.00

                                          ____5 lines of text with the ____cat paw/____dog paw symbol for $160.00 
Mail this completed form and your check to:
Animal Friends of Barbour County
PO Box 452
Philippi  WV  26416
If you have any questions, please call us at 304-823-2012 and leave a message.

THANK YOU FOR YOUR GENEROUS SUPPORT!

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