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:  _________   
 


 TO SET UP AUTO-SHIP:

 

Phone: 214-257-0505 

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

Getty Equine Nutrition, LLC, 307 Lily Lane, Lewisville, TX 75057

 

FAX:  214-257-0578