| StrideEquus Order Form | ||||||||||||
| marquis®supergrip | ||||||||||||
| (Please COMPLETELY fill out this form, then mail, fax or email to StrideEquus. Please Print) | ||||||||||||
| Measurements are the sole responsibility of the purchaser. | ||||||||||||
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Description Quantity Price Total Cost
Order Subtotal: $_________________ Total Cost: $______________
Name: (Please Print) __________________________________ Date : ___________
Address: ______________________________________ City:_________________
State/Province: ______________________________ Zip/Postal Code: _________
Phone: (_________) _______________ Additional Phone: _________________
Email Address: ________________________________________________________
Hoof Measurements: Width __________Left Front _________ Right Front
Width__________ Left Hind _________ Right Hind
Heel Height ______________ Fronts _______________ Hinds
Method Of Payment: Check/Money Order VISA Master Card American Express
Credit Card Number: ________ ________ ________ _________
Card Holder/Signature: _______________________Exp. Date: ____/____
Stride Equus 20004 Vernon SQ PO Vernon British Columbia V1T 9L4 1 800 403-0689 Fax 250 679-7837 info@StrideEquus.com info@marquisBoot.com www.StrideEquus.com www.marquisboot.com |
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