THIS IS FOR MEDICAL ALERT TAGS ONLY. FILL IN THE BOXES AND PRESS "SUBMIT" BELOW TO SEND. INDICATE AT BOTTOM TOTAL AMOUNT DUE AND HOW PAYMENT WILL BE MADE.

Your Full Name: Email: 
Address #1:
Address #2
City: State: Zip:
Country: Phone# (OPTIONAL): 
CHOOSE FROM EITHER OF THE 2 SIZES AVAILABLE. SMALLER TAG (7/8 INCH ACROSS) CAN ONLY BE MARKED ON ONE SIDE. LARGER TAG (1 1/16 INCH ACROSS) CAN HAVE A SHORT MESSAGE ON THE FRONT AND MORE ON THE BACK. PLEASE BE CONCISE AND CHECK THE SPELLING IN YOUR MESSAGE CAREFULLY- I CANNOT EDIT IT FOR YOU! IF I SEE WHAT SEEMS TO BE AN ERROR I WILL CONTACT YOU TO VERIFY BEFORE I MAKE YOUR TAG. EACH TAG ORDERED COMES WITH A 1/2 INCH SPLIT RING TO USE AS A KEYTAG. CHOOSE A NECKCHAIN SET BELOW IF DESIRED FOR $1.00 EXTRA.
TAG#1
TAG DESIRED:
Side 1 Message:
Side 2 Message:

TAG#2
TAG DESIRED:
Side 1 Message:
Side 2 Message:

TAG#3
TAG DESIRED:
Side 1 Message:
Side 2 Message:


ACCESSORIES DESIRED
A neckchain set consists of a 24 inch ball chain, connector and extra large jumpring. The #3 size has smaller balls than the #6 size- both are the same price- $1.00 per set. The included jump ring allows the tag to hang flat against your body without twisting. "Rawhide" is a 24 inch tan rawhide strip and jump ring for a natural look.
WANT NECKCHAIN SETS? 
MAKE CHOICE:		 HOW MANY?
WANT NECKCHAIN SETS? 
MAKE CHOICE:		 HOW MANY?

TOTAL NUMBER OF LARGE MED TAGS    AT $6.50 EACH
TOTAL NUMBER OF SMALL MED TAGS   AT $6.00 EACH
TOTAL NUMBER OF NECKCHAINS             AT $1.00 EACH
TOTAL AMOUNT DUE THIS ORDER        $

ONCE I RECEIVE YOUR ORDER INSTRUCTIONS I WILL SEND YOU A PAYPAL INVOICE.