Sold to:
Name:________________________________________

Adresse:______________________________________

_____________________________________________

City:__________________________________________

State:____________________  Zip:_________________

Country:_______________________________________

Phone:________________________________________

Fax:__________________________________________

Email:_________________________________________
Ship to:
Name:________________________________________

Adresse:______________________________________

_____________________________________________

City:__________________________________________

State:____________________  Zip:_________________

Country:_______________________________________

Phone:________________________________________

Fax:__________________________________________

Email:_________________________________________
Credit card informations:    visa___  Mastercard__  American Express___

Card Number__________________________________Expiration Date______________ CVS (3 or 4 Digits)________

Name on card____________________________________________________Zip Code________________________

Signature______________________________________________________________________________________
Items number:

_____________

_____________

_____________

_____________

_____________

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Please print and fax to 252-239-1023  with a copy of your Reining Canada Card
Qty:

_____

_____

_____

_____

_____

_____
Description & colors:

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________
Price:

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I will receive a confirmation by Fax___  or Email___
For more informations, Please contact     sylvain@fgreiningcollection.com
Please print and fax to 450-508-4523  with a copy of your Reining Canada Card
25% discount on:
FG Products from Metalab or Lami-Cell (Order by fax or email)
20% discount on:
All items in store in Mirabel, QC. (Boutique Hobby Horse)
10% discount on:
All new saddle in stock in Mirabel, QC  (Boutique Hobby Horse)
PS We will ads new items every month  !!!
For 2010 Reining Canada
member ONLY
Fax Order ONLY
Please print and fax to 450-508-4523  with a copy of your Reining Canada Card