Getty Equine Nutrition

Nutrition services for all life stages
Integrative support for injuries and disorders

 

Auto-Ship Scheduling Form - PRINT THIS FORM and COMPLETE

SHIP TO:                                                                         

NAME:   _______________________________________           PHONE: _____________

STREET: _______________________________________   

             _______________________________________           EMAIL: _____________

CITY, STATE, ZIP: ________________________________

 

COMMENTS/SPECIAL INSTRUCTIONS:

 Please indicate which items you wish to have auto-shipped:

 

Qty

Name of Item

Size

How often shipped

Starting Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit/Debit Card Information:

 

                                                     

      

Signature of Cardholder: _________________________________________________

 

Account Number:   _____________________________         Expiration Date: __________________

 

Card Verification Number:  _________   (For VISA, MC, and DISCOVER, this is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.  For American Express, it is 4-digit number printed on the front of your card. It appears after and to the right of your card number.)
 

 TO SET UP AUTO-SHIP:

 

Phone:  970-884-7187 

Mail:  Send your completed order form, with payment information, to:

Getty Equine Nutrition, 732 Chimney Drive,

Bayfield, CO 81122

 

FAX:  970-884-9186