| Product - Seat Saver Cushion |
Quantity |
Cost |
Total Cost |
Aussie (single cushion)
|
|
$48.00 |
$_________ |
| Aussie + A Little Bit More double cushion |
|
$63.00 |
$_________ |
| Western or English (circle
one) single cushion |
|
$38.00 |
$_________ |
| Western or English + A Little Bit More (circle
one) double cushion |
|
$53.00 |
$_________ |
| A Little Bit More 2nd cushion attaches under
for X-treme trail riding comfort |
|
$15.00 |
$_________ |
| Motorcycle - Driver |
|
$49.00 |
$_________ |
| Motorcycle - Passenger - slim or fat boy (circlle one) |
|
$39.00 |
$_________ |
| Bicycle Tush Cush |
|
$20.00 |
$_________ |
| Top
Fabric Choices -Circle
or highlight color choice If
ordering more than one style,
indicate which color goes with which style of seat.
|
| Faux Sheep -Black
- Brown - Gold - Faux Leopard
Fur(blk/brn/tan) |
| Faux Tooled
Leather -
ornate like fancy saddle tooling -Black
- Brown - Gold |
| Faux Butter Suede -
soft with surface nap -Black - Dark Brown
- Brown - Gold |
| Faux Stretch Suede -
soft, smooth -Black on Black Check English
Only |
Polar
FleeceHorse
Head Print - soft fleece - Brown Multi(more
bays)- Gold
Multi(more palominos)(Brn
Multi Western Only) |
| Polar FleeceTie
Dye - soft fleece -Bright Multi (red,
pink, yellow, blue, green, gold, purple) |
Polar Fleece Solids
- soft fleece - Charcoal
Gray - Royal Blue -
Purple - Dark Pink
- Barn Red
|
Special Instructions:
How did you find us? |
| Wisconsin Sales Tax |
|
5.5% |
$_________ |
| Shipping up to $60 |
|
$5.95 |
$_________ |
| Shipping $60 to $120 |
|
$7.95 |
$_________ |
| Shipping over $120 |
|
Free |
$_________ |
| Grand Total |
Credit Card Type (circle one): Visa, MC, AmEx,
Disc
Credit Card # __________-__________-__________-____ ______
Expiration Date__________ Security Code (3 digits on back)__________
Name on Card
|
|