**Make checks payable to GPA/MD Inc.**   Please print, fill out and mail this form with payment to:

Walt Clayton
13421 Blenfield Road
Phoenix, MD 21131

Full Name:  _________________________________________________________

Address:  __________________________________________________________

City, State:  ________________________________________________________

Zip Code:  ____________________________

Valid Email:  ________________________________________________________

Phone:  __________________________________

** BOOKS ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total and add $1.00 each for any additional books ordered.)

Cookbook "Race You to the Table" -  Qty: ____________  $14.00 plus $3.00 shipping

Coloring Book "We Adopted A Greyhound" - Qty:____________  $8.00 plus $3.00 shipping

Book "Dasher Gets Adopted" - Qty:_____________  $15.00 plus $4.00 shipping


** LEASHES AND COLLARS ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total and add $1.00 each for any additional leashes and collars ordered.)

Available colors are cranberry, navy, red, deep purple, burgundy, royal blue, bright purple, teal, black and green

Premiere Collar  Qty:_______  Color: ________________ - $8.00 plus $3.00 shipping
Premiere Leash  Qty:_______  Color: ________________ - $8.00 plus $3.00 shipping
Collar/Leash Set  Qty:_______  Color: ________________ - $15.00 plus $3.00 shipping

Need more than one? Put additional orders for Premiere items here (be sure to include quantity and color):

Premiere Collar  Qty:_______  Color: ________________
Premiere Leash  Qty:_______  Color: ________________
Collar/Leash Set  Qty:_______  Color: ________________

Leather Leash  Qty:__________   - $22.00 plus $3.00 shipping

Various Fancy Collars  Qty:_______________  Reference Number:_________  Please check with Walt Clayton at blenfield@verizon.net for prices per collar. Shipping cost is $3.00

Muzzles  Qty:________  Color:________ - $12.00 plus $3.00 shipping.   ~ Available colors are red, pink, green, light blue


** BOWLS, COATS, FIRST AID ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total and add $2.00 each for any additional bowls, coats or first aid kits ordered.)

Winter Coat  Qty:_______  Size:______ (Sm, Med, Lg, XLG)  Color:_______ - $48.00 plus $5.00 shipping ~ Available Colors red, blue, maroon, green and yellow.

Feeding Bowl Set  Qty:_______ - $22.00 per set and $4.00 for extra bowl. *Shipping - pick up only*

First Aid Kit  Qty:_______  $34.00 plus $5.00 shipping.


** T-SHIRTS, GOLF SHIRTS & HATS ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total and add $1.00 each for any additional shirts and hats ordered.)

GPA/MD T-Shirts  Qty:________  Color:________  Size:________(Sm, Med, Lg, XL) - $14.00 plus $3.00 shipping. Available colors: red, yellow, light blue, orange and green.

GPA/MD Reunion T-Shirts (white only)  Qty:________  Size:________ (Sm to XXL) - $12.00 plus $3.00 shipping

GPA/MD Golf Shirts (green only)  Qty:________  Size:________ (Sm to XXL) - $30.00 plus $4.00 shipping

Sweatshirts  Qty:________  Size:________ (Sm to XL)  Color:________ (Navy w/ red GPA emblem and forest green w/ gold and red emblem) ~ $28.00 plus $5.00 shipping.

Hats  Qty:_______  One size fits all in colors Blue or Green ~ $18.00 plus $3.00 shipping


** JEWELRY ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total)

Handmade Sterling Silver Earrings  Qty:________ - $45.00 plus $2.00 shipping

Handmade Sterling Silver Necklace  Qty:________ - $35.00 plus $2.00 shipping

Leather Pins  Qty:________  Size 1-1/2" x 1-1/2" in Various colors (check with Walt for more info on colors) - $5.00 plus $2.00 shipping


** RESIN STATUE ** ~ (Please include 6% sales tax on cost of item, not shipping costs, in your total)

Greyhound Resin Statue  Qty:________  4 inch - $5.00 plus $3.00 ~ (Please include 6% sales tax in your total and add $1.00 each for any additional statues ordered.)