WORLD MORGAN FUTURITY MERCHANDISE ORDER FORM

Ordered by

Name: __________________________________

Address: ________________________________

City/State/Zip: ____________________________

Telephone: _______________________________

E-mail: __________________________________

Ship to

Name: ________________________________________

Address: ______________________________________

City/State/Zip: __________________________________

SPINNERS

Qty
Item
Price Ea.
Total

___________

Large Spinner

$ 45.00

___________

___________

Small Spinner

$ 15.00

___________

   

Shipping $5.00:

___________

TOTAL:

___________

       
___________ BLACK ___________ TROTTING
___________ RED ___________ SPORT
___________ COPPER ___________ GN LOGO
___________ GREEN    
___________ BLUE    
DENISE PETERSON PRINTS
Qty
Item
Price Ea.
Total

___________

Attitude

$ 20.00

___________

___________

Grace

20.00

___________

___________

Personality

20.00

___________

___________

Motion

20.00

___________

___________

Set of All Four

60.00

___________

Shipping:

$ 3.20

TOTAL:

___________

CREDIT CARD INFORMATION

Name on card: _______________________________________________________________________________

Card Number : _______________________________________________________________________________

Expiration Date: ____________________________

We accept VISA, Mastercard or Discover.

Payable by check, credit card or money order to:

WORLD MORGAN FUTURITY, c/o Barb Rudicel, 6839 W. Isanogel Rd., Muncie, IN 47304

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