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Customer Information & Mailing Address: Shipping Address: (if different from mailing address) Name: Name: Address: Address: City:  State:  Zip: City:  State:  Zip: Country:  Country: Phone # (Day):  Phone # (Eves):  Fax #:  Email:

Item Unit Price   Quantity  Total  Sidepull Bridle  $229.00      Matching Reins • Width 5/8" 3/4" Length: 9' 10' 11'  $ 40.00      Additional Buckle (in center of reins as with English-style reins)   $ 10.00      Up to $75.00 = $7.50  $75.01 and up = $9.50 Allow 4-6 weeks for delivery.  Subtotal    CA Res. Add 7.25% Sales Tax    Shipping    TOTAL