LOOKOUT CARSEATS ORDER FORM
If paying by VISA or MasterCard, print this form, fill out, and fax to 301-762-6422. If you don't have access to a fax machine, you may call in your order to 301-762-6022 between noon - 9 PM Eastern.
If paying by check or money order, print and complete this form and
mail with
payment. Make checks payable to MARYLAND BICHON FRISE RESCUE, INC. and mail to Jill Siegel / 13400
Valley Dr. / Rockville, MD 20850. Orders paid by personal check will be
processed after check clears.
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