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Order Form

To order your Sandstone Plaque, simply fill in the Order Form below and your details and we will process your order as soon as possible. You can also print this form and post or fax it to us with your order.


* Your Name :

* Address :

* Suburb :

* State :

* Postcode :

* Phone :


Please write what you would like inscribed onto the Memorial Plaque. Actual Plaque size is 12cm by 9cm

* Plaque Message :
5 Lines Maximum



Plaque Ordered :
Sandstone Plaque $150.00

* Payment Method :


Please make Cheques and Money Orders payable to "Pets At Peace".

Card Number :

Card Name :

Expiry Date : 



(* Required Fields | ** Required at least one Field)


Postal order to be sent to P.O. Box 665, Camden, NSW, 2570. Fax orders can be sent to 02 4648 0245 or give us a call on 1800 636 797 for any ordering enquiries you may have.





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