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SHADES ORDER FORM
Please print, complete, and mail the following form with your check to:
Helmet Shades
P.O. Box 1247
Tampa, Florida 33601
1-800-447-0799
Fax: (813) 681-3766
Make checks payable to: Helmet Shades
If you would like to pay with PayPal, click here.
If you would like to purchase with a Credit Card, click
here.
Saddle up Tack: 1-888-Horse24
Malleable Helmet Shades: $23.95 each
Wide Brim Helmet Shades: $31.95 each
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Color
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Style
(Regular or Wide) |
Size
|
No.
|
Total |
| White | ||||
| Black | ||||
| Tan/Khaki | ||||
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Total Number of Malleable Shades @ $23.95 each: |
$ | |||
| Total Number of Wide Shades @ $31.95 each: | $ | |||
| Postage: $4.60 for standard shade; $7.50 for Wide shade | ||||
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Name: |
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Mailing Address:
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| Telephone: | ||||
| E-mail: | ||||