::: Horse Trailer Accessory Store order form :::
Print this page, fill it out and fax it to: (503) 826-8552
or mail it to: TRAIL PALS, P.O. Box 1963, Sandy, OR 97055

Date
of Order

** SOLD TO: (mailing address)**

Mr./Mrs./Ms.

Farm Name

Street Address

PO Box

City

State

Zip

Phone ( )

( )

Email Address
(important for order confirmation or questions about your order)

** SHIP TO: (street address)**
(If Different)

Mr./Mrs./Ms.

Farm Name

Street Address

PO Box

City

State

Zip

Phone ( )

Other ( )

* We need two ways to get in touch with you--by email & phone, if we have a question about your order.

* We need your mailing address to charge your credit card, send your receipt & we ship some of our orders by US Mail.

circle one: Visa, MasterCard, Discover Card, Am Express

Your Credit Card number:

Credit Card expiration date:

Buyer's signature, as on card:

Qty.

Item #

Size/Color

Description

Item Price

Total

Notes and Special Instructions:	Subtotal:
_________________________________________________	(see chart below) Flate Rate SHIPPING:
_________________________________________________	*****Additional FOB Charges?**** Noted next to overweight & oversized items. Add in after flat-rate shipping.** Click for more info: SHIPPING
_________________________________________________	Grand Total:

Flat Rate Shipping Charges:
$ 00.01 to $ 50.00	$ 7.95
$ 50.01 to $ 100.00	$ 11.95
$ 100.01 to $ 200.00	$ 15.95
$ 200.01 to $ 300.00	$ 19.95
$ 300.01 to $ 400.00	$ 24.95

Orders over $400.00 will be charged an additional $5.00 shipping per $100.00 purchased, and these orders must be called in or faxed. +++FOB charges will show as HANDLING charges on the Shopping Cart.**

We recommend that all parts and accessories be installed by a professional. If you choose to install them yourself, Trail Pals will not be responsible for any damage caused to yourself or your property.

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