Name
Address
City, State  Zip
Day Phone
E-mail
Rider Details:  Knee to hip *              Sex               Height               Weight
*measured from the top of the hip bone to the top of the knee
Rider Discipline
Rider Level
Horse Name:                                 Sex               Hands               Weight               Age
Breed
Existing Problems
 
To allow us to ship your saddle we need to secure it against a credit card (you will not be charged only authorized)
MC/Visa/AmEx/Disc    Your#                                                                                                        Exp:
Verification#                 (This is the three or four-digit security code that is printed on credit cards. The value appears in reverse italic at the top of the signature panel or at the most right hand side in the signature panel on the back of the credit card, or just above the end of the credit card number on the front of the card for American Express Cards.)
Cardholder name and address, if different from above:
Name
Address
Signature                                                                            Date
Saddle Model Requested:
Tree Size:  xn/n/nm/m/mw/w/xw/xxw      or     made to measure (no additional charge)
Seat Size:  16/16.5/17/17.5/18/18.5/19
Flap Length: Petite/Regular/Long

 

Custom Saddlery West Coast
802 N. Twin Oaks Valley Road
S u i t e   106
San Marcos, CA 92069
Ph: 866.315.8111

Custom Saddlery East Coast
205 Medford-Mt.Holly Road
Medford, NJ 08055
Ph: 800.939.7729

SEND TO:

OR

Rider/Saddle Information Form (Print Form and fill out)