Bloat Kit Order Form Item Price (each) Quantity Total ($) Bloat Kit protect your Collie from avoidable distress while you make arrangements to get him professional help! Designed and outfitted by Veterinarian Dr. Cindi Bossart, knowing how to use this kit while you wait for emergency help, can save the lives of your Collies! Contents Foal tube • K-Y jelly • 4" Vet wrap • 14g x 1-1/2 needle Not included Please purchase Simethicone Liquid (Gas-X) at your local pharmacy Complete instructions are included, including photos $25.00 Total Enclosed:   Mail orders to: Judy Porter, 303 Chalfonte Drive, Catonsville, MD 21228 (410) 788-2173 fideliscol@aol.com All orders must be in U.S. funds. Checks to be payable to: Collie Health Foundation For all orders outside the the US, please contact Judy in advance for shipping charges for your order.   Name:__________________________________________________ Street Address:___________________________________________ City, State, Zip:___________________________________________ Phone:____________________________________  Email:

Promotional Items Order Form Wearing The Foundation Logo Shows You Care! Item Price (each) Shipping (each) Size Color 1st choice Color 2nd choice Quantity Total ($) Denim Shirts - Embroidered Colors:  Blue Denim,  Khaki Denim Sizes:  Youth M, S, M, L, XL, XXL $35.00 $3.00       Polo Shirts - Embroidered Sizes:  S, M, L,XL, XXL Colors: Black, Denim, Natural, Navy, White $40.00 $3.00       Sherpa Jackets - Embroidered Logo: Full length zipper, collar, zippered pockets Sizes:  Youth M, S, M, L, XL, XXL Black, Forest, Navy, Red $50.00 $5.00           Sherpa Vests - Embroidered Logo Sizes: S, M, L, XL, XXL Black, Forest, Navy, Red $45.00 $4.00   Sweatshirts - Silkscreened Logo Sizes: S, M, L, XL, XXL Ash, Stone, White, Navy, Wine $25.00 $4.00   Sweatpants - Silkscreened Logo pockets and drawstring Sizes: S, M, L, XL, XXL Ash, Navy, Wine $35.00 $4.00   Teeshirts - Silkscreened Sizes: S, M, L, XL, XXL Heather, Raspberry, Turquoise, White $15.00 $3.00   Total Enclosed:   Mail orders to: Diane Kwiatkowski, 10750 West Road, Albion, PA 16401 * * * E-mail: wyndeswept@velocity.net* * * Phone # (814) 756-5649 All orders must be in U.S. funds. Checks to be payable to: Collie Health Foundation For all orders outside the the US, please contact Krista in advance for shipping charges for your order.   Name:__________________________________________________ Street Address:___________________________________________ City, State, Zip:___________________________________________ Phone:____________________________________  Email:_______________________   Back to Home