Ordering Biko Sports Bands

Biko Sports Bands Order Form

Veterinarian/Trainer/Handler

Name

Name of Practice/Company

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Athlete/Working Dog Information

Dog's Name

Pet Parent/Trainer/Handler

Pet's Name Owner's Last Name

Age

Breed

Activity

Measurements

Band Length Left Side (A)

Band Length Right Side

Metatarcal Circumference Left Foot (B)

Metatarcal Circumference Right Foot (B)

Ordering Information

Biko Sports Band Individual Kit

Price: $225.00

Descriptive Copy to come. * Professional courtesy discount offered to Trainers/Handlers and veterinary healthcare professionals.

Biko Sports Bands Practice Kit (Sizes 3-6)

Price: $420.00

Descriptive copy to come

Single Cuff

Price: $40.00

Set of 2 Cuffs

Price: $75.00

Shipping

Total

Billing Information

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Payment Method

Visa

Master Card

Card Number

Expiration Date

Security Code

Shipping Information

Shipping to:

Vet/Trainer/Handler Address

Different Address

Owner's Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Comments

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