WHITEHOUSE SADDLEPADS
1000 SW 4th Street ~ Marietta, OK. 73448
888-522-2588  Fax 580-276-9774

ORDER FORM

Shipping UPS & Handling Charges:
1 Blanket  $18.00
2 Blankets $22.00
3 Blankets $25.00
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:__________________________________