Wild Rose Trading Co, PO Box 5174, Durango, CO 81301

Phone: (970) 259-8396

E-mail: sales@wrtcleather.com

FAX: (530) 504-9724

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- MEASUREMENTS & INFO MENU -

Buckskins

Cuffs

Gun Belts

Hatbands

Holsters

Knife Sheaths

Other Items

Spur Straps

CUSTOM LEATHER GOODS ORDER FORM

Please fill out, print, and mail or FAX in with your order.
A 50% deposit is required at the time of order

Additional info will be asked for on the measurement & info form(s)

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Name

Address

Address

City

ST Zip

E-Mail

Order Date

Phone

Day

Night

FAX

Quantity

Item

Price

Total

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Bryan Gamble © Copyright 2001.
All Rights Reserved.

Total Sales

Less: (5% NRA/SASS discount)

Plus Sales Tax

Total

Plus Shipping (see below)

Subtotal

Less: Deposit (50% down)

Balance Due

   
Shipping Via

USA Shipping: if Total =

Payment Via

Cash, check, or money order number

Card Holder Card # Exp Date

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