Once you have filled out and submitted the order form
please use this section to pay for your order, thank you,
and remember a portion of the proceeds from every order
goes to the Humane Society of Naples, FLorida

Name:* (as it appears on card)
Card Type: *	Mastercard Visa Discover
Card #: *
Exp. Date: *	mm/yyyy (ie. 04/2009 )
CVM #:* (reverse of card, last 3 digits to right of signature block)
Framed Picture *	qty:(1) $139 +$14.95 s/h qty:(2) $278 +$29.90 s/h qty:(3) $417 +$44.85 s/h
Address: *
Address 2:
City: *
State *	AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zipcode: *
Contact Phone #: *
Email: *
Enter the code shown in the image: * required