WHITEHOSE SADDLEPADS
403 Ball Street ~ Marietta, OK. 73448
580-276-4441  Fax 580-276-9774

ORDER FORM

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:
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_____Master Card   ____Visa    _____America Express    ____Discover

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

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

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