Print Legibly     (Reorders must write their assigned FRR#)             FLINT RIVER RANCH
                                                                              1243 Columbia Ave., B-7
      Last:____________________First:__________________(MI)____FRR#____       Riverside, CA 92507-2123
                                                                            
      Ship Addr:_______________________________________________________       Fax:  909-682-5057

      City:_____________________________________State:_____Zip:________       Distributor ID#:QGA2
                                                  (Please use 9 digit zip)   Debra  L Jensen
      Ph: (D)_____________________________(N)__________________________       702-531-3195

      PAYMENT BY:  Check___  Visa___  M/C___  AmExp___  EFT Draft___          
                                                                              Make checks payable to:
      Card#_________________________________________Exp. Date:_________       Flint River Ranch
                                                                         
      Cardholder Signature:____________________________________________

      Product                          Retail     Tax     Total     Code     Amt     Order Total
      ------------------------------------------------------------------------------------------
      TWICE OVEN BAKED KIBBLE
      40# Kibble Puppy&Adult           $45.95     3.45    49.40     DOG40    ____    ____________
      20# Kibble Puppy&Adult            24.95     1.87    26.82     DOG20    ____    ____________
      10# Kibble Puppy&Adult            14.95     1.12    16.07     DOG10    ____    ____________ 
       6# Kibble Puppy&Adult            12.45     0.93    13.38      DOG6    ____    ____________
      NUGGET - For larger dogs
      40# Nugget                       $45.95     3.45    49.40     NUG40    ____    ____________
      20# Nugget                        24.95     1.87    26.82     NUG20    ____    ____________
      SENIOR KIBBLE - For inactive, mature, overweight dogs
      40# Senior Kibble                $45.95     3.45    49.40     SEN40    ____    ____________
      20# Senior Kibble                 24.95     1.87    26.82     SEN20    ____    ____________
      10# Senior Kibble                 14.95     1.12    16.07     SEN10    ____    ____________ 
      SENIOR PLUS KIBBLE - With Chondroitin Sulfate and Glucosamine
      40# Senior PLUS Kibble           $49.94     3.75    53.70    PLUS40    ____    ____________
      20# Senior PLUS Kibble            26.95     2.02    28.97    PLUS20    ____    ____________
      10# Senior PLUS Kibble            15.85     1.20    17.15    PLUS10    ____    ____________ 
      LAMB,MILLET,RICE ADULT DOG FOOD - For dogs sensitive to wheat or chicken
      40# Adult Dog                    $49.95     3.75    53.70    LMR40    ____    ____________
      20# Adult Dog                     26.95     2.02    28.97    LMR20    ____    ____________
      10# Adult Dog                     15.95     1.20    17.15    LMR10    ____    ____________ 
      DRYWATER - A warm healthy meal for dogs.  Just add hot water.
      48 oz. DryWater Fresh Dog        $13.50     1.02    14.52     DW48     ____    ____________

      HEALTH TREATS - Nutritional bone biscuits
      20# Dog Bone Treats              $34.95     2.62    37.57     BON20    ____    ____________
      10# Dog Bone Treats               19.95     1.56    21.45     BON10    ____    ____________
       4# Dog Bone Treats               10.50     0.79    11.29      BON4    ____    ____________
      20# Peanut Biscuit Treats         34.95     2.62    37.57     PNUT20   ____    ____________  
       4# Peanut Biscuit Treats         10.91     0.82    11.73     PNUT4    ____    ____________  
      20# Lamb Biscuit Treats           36.92     2.77    39.69     LAMB20   ____    ____________  
       4# Peanut Biscuit Treats         11.93     0.89    12.82     LAMB4    ____    ____________  
      20# JUBILEE WAFERS                39.95     3.00    42.95      JW20    ____    ____________  
       4# JUBILEE WAFERS                13.50     1.02    14.52      JW      ____    ____________  

      CAT and KITTEN - All stages of life
      40# Cat&Kitten Food              $73.50     5.51    79.01     CAT40    ____    ____________
      20# Cat&Kitten Food              $37.50     2.81    40.30     CAT20    ____    ____________
       9# Cat&Kitten Food               18.95     1.42    20.37     CAT9     ____    ____________
       6# Cat&Kitten Food               15.95     1.20    17.15     CAT6     ____    ____________
      CAT and KITTEN HAIRBALL MANAGEMENT FORMULA - All stages of life
      40# Cat&Kitten Hairball          $73.50     5.51    79.01      CH40    ____    ____________
      20# Cat&Kitten Hairball          $37.50     2.81    40.30      CH20    ____    ____________
       6# Cat&Kitten Hairball           15.95     1.20    17.15      CH6     ____    ____________
      LITE CAT - Overweight or inactive
      9# Adult LITE Cat Food           $18.95     1.42    20.37     LIT9     ____    ____________

      Crunchy CAT TREATS - (Ships only with product purchase)
      12 oz. CAT&KITTEN Treats         $ 4.25     0.32     4.57    TREAT     ____    ____________

                                                   
                                                     TOTAL ORDER AMOUNT:_________________________ 

      __________________________________________________________________________________________________
      40# dog food sizes are (2) 20# bags.  Shelf life is 6 months. Visa - MasterCard - American Express
      credit cards accepted.  Order canceled if credit card declined/invalid.  Notification sent by mail. 
      Insufficient fund check fee is $15.  100% PRODUCT SATISFACTION GUARANTEED. 
      RETURN PREPAID UNUSED PRODUCT WITHIN 30 DAYS FOR FULL PURCHASE PRICE REFUND.

      Form 02/02

      
Email: mailto:healthypets@flintriverranch.org
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