Order Form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT
(please make check or money order payable to Val Hanks)

Love My Ponies

22439 Hwy 1 NE Blackduck, MN 56630
Phone: 218-417-0455   |  E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 
Circle Payment Method:          Check   Money Order   Visa   Mastercard
Name:(print & signature)
Address:
City:
State & Zip:
Telephone:
Item Name and Description Price Each Quantity Total

 Love My Ponies

 Mane Color (circle):
 Black  |  Brown  |  Gray  |  White  |  Tan
 Tan/Brown Combo  |  Pink  |  Blue  |  Purple  |  Yellow

 Bridle Color (circle):
 Black  |  White  |  Tan  |  Brown/Tan Combo  |  Blue

 

 $21.48            
 

Subtotal:

  

Shipping and Handling: $10.00

  

 

  

Total :