WHITEHOSE SADDLEPADS
114 W. Main Street ~ Marietta, OK. 73448
888-522-2588  Fax 580-276-9774

ORDER FORM

Qty.

Blanket Name

Item#

Blanket Type

Price

______ _______________ _______________
______Reiner, no filler
______Performance, 1 filler
______Performance, 2 filler
______Roper, 3 filler
$ 150.00
$ 155.00
$ 160.00
$ 165.00
         
______ _________________ __________________
______Reiner, no filler
______Performance, 1 filler
______Performance, 2 filler
______Roper, 3 filler
$ 150.00
$ 155.00
$ 160.00
$ 165.00
         
______ _________________ __________________
______Reiner, no filler
______Performance, 1 filler
______Performance, 2 filler
______Roper, 3 filler
$ 150.00
$ 155.00
$ 160.00
$ 165.00

Shipping UPS & Handling Charges:
1 Blanket  $14.00
2 Blankets $18.00
3 Blankets $22.00
4 or more call for quote

Method of Payment:
_____Enclosed check
_____Please Charge my _____Master Card _____Visa _____AmExpress _____Discover

Charge card number:_________________________ Exp. Date____________________
Charge cart in the name of:________________________________________________

Ship to:
Name:__________________________________________ Telephone:________________________
Address:_____________________________ City:_______________ State:_________ Zip:________

                                                       Signature:__________________________________