Product Order Form
Orders will not be shipped until order form and payment have been received!

Make Checks Payable to:
Pony Express Riders of Iowa
and send order form to:
Dee Gamble Pony Express Riders of Iowa
409 4th Street, Maxwell, IA 50161
515-387-8667 or send E-mail
Item Size Color Price Ea. Quantity Total
            
            
            
            
            
            
Additional Costs: Shipping (includes up to 3 items) -  $5.00 | Each Additional Item  - $ .75
Plus 6% Sales Tax
__________________ Grand Total

Shipping Information:

Name: __________________________________________________________

Street Address: ___________________________________________________

City: __________________________ State: __________ Zip: ______________

Phone: __________________________________________________________

  RETURN