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|
| Name |
| Address |
| City, State Zip |
| Day Phone |
| Rider Details: Knee to hip Sex Height Weight |
| 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 |
| Stirrup Leather Length |
Send to:
East Coast West Coast
Custom Saddlery Custom Saddlery
205 Medford-Mt. Holly Rd 802N. Twin Oaks Valley Rd/Suite#106
Medford, NJ 08055 San Marcos, CA 92069
800.939.7729 760.798.4363