Vivid Reptiles
Request For Intemized Invoice Form
(US Sales Only)

Please use the spaces below to request an itemized invoice with a link to secure on-line payment using PayPal or your credit card. Shipping will be automatically calculated on your invoice at the flat rate of $39.50 when using our standard overnight method.

Email:

First Name:

Last Name:

Telephone:

Sales Tax:

Please enter the identification numbers (as listed on the "Available" page) in the spaces provided below of the animals you want to purchase.

Selection 1 ID#:

Selection 2 ID#:

Selection 3 ID#:

Selection 4 ID#:

Selection 5 ID#:

Selection 6 ID#:

Selection 7 ID#:

Selection 8 ID#:

Comments: