Order Form

Name________________________________________________

Address______________________________________________

City__________________________State__________________Zip Code________________

Phone (_____)_________-_______________

E-mail________________________________

Print order form (to print click 'Edit', then 'Select All', then 'Print') and mail along with check or money order to

ROCKING HORSE CHAPS

19430 WHITE OAK RD

UTICA, OHIO 43080

 

Style	Color	Size	qty	Price			Total
Children's Basic Cutter chaps	sand/black	6	1	$79	00		SAMPLE $79	00
Shipping Fee:Priority Flat Rate $11.00 Express Shipping Additional - call for rates Add $2.00 per $100.00 for insured mail delivery. Call for shipping fees for multiple pairs of chaps. Insurance Highly Recommended				SUBTOTAL
				Shipping Fee
				Sales Tax Ohio Residents Only
				TOTAL

 

 

 

 

 

 

 

 

Measurements (SEE SIZING INFO PAGE)

Waist_______________________

Length______________________

Thigh_______________________

Additional info._________________________________________________________________