Rod Kibler Saddlery Order Form |
| NAME: _________________________________________________________________ |
| ADDRESS: ______________________________________________________________ |
| CITY: ___________________________ STATE: _________ ZIP CODE: ____________ |
| PHONE: ______________________________ |
| ITEM DESCRIPTION: ______________________________________________________ |
| SPECIFICATIONS: (complete all that apply) |
| PAIR RIGHT HAND LEFT HAND (circle one) |
| COLOR: RUSSET BLACK CHESTNUT OXBLOOD (circle one) |
| CALIBER: ________ |
| GAUGE: _________ |
| WAIST SIZE: ________ |
| BELT WIDTH: ________ |
| MAKE MODEL BARREL LENGTH |
| RIFLE:________________________________________________________________________ |
| SHOTGUN:____________________________________________________________________ |
| HANDGUN:___________________________________________________________________ |
| SPOTS: BRASS NICKEL (circle one) |
| BUCKLES: BRASS NICKEL (circle one) |
| OTHER ITEMS: |
| SPECIAL INSTRUCTIONS: |
|
ITEM TOTAL $_____________ SHIPPING $_____________ SUB TOTAL $_____________ 7% TAX (GA res. only) $_____________ TOTAL $_____________ |