ORDER

Print Legibly ORDER FORM (Reorders must write their assigned FRR#) FLINT RIVER RANCH

Last: ___________________________ First: _________________ FRR#: ________

1243 Columbia Ave., B-7

Ship Addr: ____________________________________________________________ Riverside, CA 92507-2123

Phone: 909-682-5048

City: __________________________________ ST: ____ Zip Code: ______________ Fax: (Orders) 909-682-5057

Phone: ( ) ______________________ (N) ( ) _______________________ Distributor Name _________________

PAYMENT BY: Check ____ Visa ____ M/C ____ AmExp _____ EFT Draft ______ Distributor Referral FRR ID# HVP-7 ____Check if payment by Distributor

Card # _____________________________________ Expiration Date: __________ Signature: _____________________________

SHIPMENT			COST			TOTAL	ORDER	QUANT	TOTAL
TOTAL	PRODUCT	PV	POUND	PRICE	TAX	PRICE	CODE	ORDER	AMOUNT
20 Lb	KIBBLE Puppy & Adult Dog	20	1.25	24.95	1.87	26.82	DOG20	__________	__________
40 Lb	KIBBLE Puppy & Adult Dog	39	1.15	45.95	3.45	49.40	DOG40	__________	__________
200 Lb	KIBBLE Puppy & Adult Dog	195	1.1	220	16.50	236.50	DOG200	__________	__________
500 Lb	KIBBLE Puppy & Adult Dog	485	1.05	525	39.38	564.38	DOG500	__________	__________
10 Lb	KIBBLE Puppy & Adult Dog	10	1.5	14.95	1.12	16.07	DOG10	__________	__________
6 Lb	KIBBLE Puppy & Adult Dog	8	2.08	12.45	0.93	13.38	DOG6	__________	__________
20 Lb	SENIOR KIBBLE Adult Dog	20	1.25	24.95	1.87	26.82	SEN20	__________	__________
40 Lb	SENIOR KIBBLE Adult Dog	39	1.15	45.95	3.45	49.40	SEN40	__________	__________
200 Lb	SENIOR KIBBLE Adult Dog	195	1.1	220	16.50	236.50	SEN200	__________	__________
500 Lb	SENIOR KIBBLE Adult Dog	485	1.05	525	39.38	564.38	SEN500	__________	__________
10 Lb	SENIOR KIBBLE Adult Dog	10	1.5	14.95	1.12	16.07	SEN10	__________	__________
20 Lb	SENIOR PLUS Adult Dog	20	1.35	26.95	2.02	28.97	PLUS20	__________	__________
40 Lb	SENIOR PLUS Adult Dog	39	1.25	49.95	3.75	53.70	PLUS40	__________	__________
200 Lb	SENIOR PLUS Adult Dog	195	1.2	240	18.00	258.00	PLUS200	__________	__________
500 Lb	SENIOR PLUS Adult Dog	485	1.15	575	43.13	618.13	PLUS500	__________	__________
10 Lb	SENIOR PLUS Adult Dog	10	1.6	15.95	1.20	17.15	PLUS10	__________	__________
20 Lb	NUGGET SIZE Adult Dog	20	1.25	24.95	1.87	26.82	NUG20	__________	__________
40 Lb	NUGGET SIZE Adult Dog	39	1.15	45.95	3.45	49.40	NUG40	__________	__________
200 Lb	NUGGET SIZE Adult Dog	195	1.1	220	16.50	236.50	NUG200	__________	__________
500 Lb	NUGGET SIZE Adult Dog	485	1.05	525	39.38	564.38	NUG500	__________	__________
20 Lb	LAMB/MILLET/RICE Dog	20	1.35	26.95	2.02	28.97	LMR20	__________	__________
40 Lb	LAMB/MILLET/RICE Dog	39	1.25	49.95	3.75	53.70	LMR40	__________	__________
200 Lb	LAMB/MILLET/RICE Dog	195	1.2	240	18.00	258.00	LMR200	__________	__________
500 Lb	LAMB/MILLET/RICE Dog	485	1.15	575	43.13	618.13	LMR500	__________	__________
10 Lb	LAMB/MILLET/RICE Dog	10	1.6	15.95	1.20	17.15	LMR10	__________	__________

20 Lb	CAT and KITTEN Food	36	1.88	37.5	2.81	40.31	CAT20	__________	__________
40 Lb	CAT and KITTEN Food	70	1.84	73.5	5.51	79.01	CAT40	__________	__________
200 Lb	CAT and KITTEN Food	345	1.8	360	27.00	387.00	CAT200	__________	__________
9 Lb	CAT and KITTEN Food	15	1.9	18.95	1.42	20.37	CAT9	__________	__________
6 Lb	CAT and KITTEN Food	11	2.66	15.95	1.20	17.15	CAT6	__________	__________
9 Lb	ADULT LITE CAT Food	15	1.9	18.95	1.42	20.37	LIT9	__________	__________
6 Lb	CAT HAIR BALL FORMULA	11	2.66	15.95	1.20	17.15	CH6	__________	__________
9 LB	CAT & KITTEN "NO FISH’	15	1.9	18.95	1.42	20.37	CNF9	__________	__________
3 Ounce	CAT and KITTEN Treats	1		1.25	0.09	1.34	CT3	__________	__________
12 Ounce	CAT and KITTEN Treats	4		4.25	0.32	4.57	CT12	__________	__________

4 Ounce	PET FORCE	2		1.39	0.10	1.49	PF4	__________	__________
32 Ounce	PET FORCE	8		7.89	0.59	8.48	PF32	__________	__________

3 Lb	DRYWATER Ultra Dog Food	12		13.5	1.01	14.51	DW48	__________	__________
4 Lb	PEANUT BISCUIT TREATS	8	2.73	10.91	0.82	11.73	PNUT4	__________	__________
20 Lb	PEANUT BISCUIT TREATS	30	1.75	34.95	2.62	37.57	PNUT20	__________	__________
4 Lb	LAMB BISCUIT TREATS	9	2.98	11.93	0.89	12.82	LAMB4	__________	__________
20 Lb	LAMB BISCUIT TREATS	32	1.85	36.92	2.77	39.69	LAMB20	__________	__________
20 Lb	DOG BONE SHAPE TREATS	30	1.75	34.95	2.62	37.57	BON20	__________	__________
10 LB	DOG BONE SHAPE TREATS	15	2	19.95	1.50	21.45	BON10	__________	__________
4 Lb	DOG BONE SHAPE TREATS	8	2.63	10.5	0.79	11.29	BON4	__________	__________
4 Lb	JUBILEE WAFERS	11	3.38	13.5	1.01	14.51	JW	__________	__________
20 Lb	JUBILEE WAFERS	35	2	39.95	3.00	42.95	JW20	__________	__________

Additional Product / Instructions: TOTAL

___________________________________________________________________________________________________________________________________________________ ORDER $ _______________

___________________________________________________________________________________________________________________________________________________

WIN-WIN AUTOMATIC SHIPMENTS: Scheduling Automatic Shipments will insure that your pet will always have their favorite food on hand (Minimum 30 days). It is easy to do. AUTOSHIPMENTS EASILY CHANGED OR CANCELED WITH A MINIMUM OF FIVE (5) BUSINESS DAYS NOTICE.

Start: _____ Code: _____ Quantity: _____ Every: _____ Days Start: _____ Code: _____ Quantity: _____ Every: _____ Days

Start: _____ Code: _____ Quantity: _____ Every: _____ Days Method of Payment on File: _____CC _____EFT Check Draft