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Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______
Sub Total: $
TX Residents, Please add 8.25% Sales Tax $
Shipping & Handling (see chart below) $
Total Enclosed: $
Payment Options: Check or Money Order
Allow 4 - 6 weeks for delivery
Please make checks payable to Rock'N Horse Western in US Funds
Thank you for your order. We appreciate your patronage.
Shipping & Handling Charges: Orders Shipped Priority Mail. Up to 2 lbs is $4.00; up to 3 lbs is $5.00; up to 4 lbs is $6.00; up to 5 lbs is $7.00
Figure S & H separately for each address we ship to.
Return Policy: Items must be returned unworn within 5 days of receipt for exchange only. You pay for the return postage; we will pay to send the replacement item.
Ship To:
Company Name:
Name:
Address:
City/Providence:
State & Zip Code:
Country:
Phone with Area Code:
Fax with Area Code:
Email:



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