Peter Kalms Saddlery- Order Form

Please provide full name and address details:.

You will be contacted shortly after the order is recieved!

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please provide full details when ordering:

Qty	Size	Item Description	Unit	Total
		Please remember to add	P & P
		$12-00 P + P unless otherwise stated	Total

	BILLING
Credit card	VISA MasterCard American Express Diner's Club
Cardholder name
Card number
Expiration date