Sparagowski, Inc.

To use the Order Form simply follow the steps below:

1. Please print page
2. Complete appropriate information
3. Fax the Form to 405-601-2695

 ORDER FORM
NAME
DATE OF ORDER
FARM/RANCH NAME
DAYTIME PHONE
ADDRESS
 CITY STATE  ZIP

 HORSE#

 CLASS#  PROOF #  QTY  SIZE PRICE
           
           
           
           
Special Instructions / Notes  SUB TOTAL  $
 RUSH CHARGE
(100% of Sub-Total)
 $
 POSTAGE/Handling
 
  $ 5.00    
 TOTAL AMOUNT
(Billed to credit card)
 $
 Credit Card Account Number  Expiration Date

PREPAID ORDERS ONLY, Thank You!