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:

_____

_____

_____

_____

_____

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Description & colors:

___________________________________________________

___________________________________________________

___________________________________________________

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___________________________________________________
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 252-239-1023  with a copy of your Reining Canada Card
20% discount on:
* Bits, Spurs, Stirrups from Metalab
* Boots, Pads, Cinches, Halters from Lamicell
* Wool Show Pads by Mayatex
10% discount on:
* Schultz Brothers reins and tack
* Ice Horse Products
* Wool Show Pads by Yucca Flats
$100 Discount on a Xtreem Saddle Design by Jim Taylor
$250 Discount (on first 5 orders only!) on a custom saddle by Jim Taylor
For 2008 Reining Canada
member ONLY
Fax Order ONLY
Please print and fax to 252-239-1023  with a copy of your Reining Canada Card