| Australian/Long Western
Seat Saver Cushion |
Quantity |
Item Price |
Total Price |
| _______ |
$48.00 |
$_________ |
| Top Fabric Choices - Circle or highlight color choice |
Faux Sheep 1.Black 2.Brown
3.Gold
|
Faux
Leopard Skin1.Blk/Brn/Crm
multi
|
Faux Butter Suede (fuzzy) 1.Black
2.Dark
Brown 3.Brown
4.Gold
(pale)
|
| Polar Fleece Horse Head Print 1.Gold
multi (more palominos) |
| Polar Fleece Tie Dye 1.Bright
multi (red, pink, yellow, blue, green, gold, purple) |
| Polar Fleece Solids 1.Charcoal
Gray 2.Royal
Blue 3.Purple 4.Dark
Pink 5.Barn Red |
| Polar Fleece Camouflage Leaves 1.
Greens/browns/grays |
Australian/Long Western
Seat Saver Cushion
+ A Little Bit More |
Quantity |
Item Price |
Total Price |
| _______ |
$63.00 |
$_________ |
| Top Fabric Choices - Circle or highlight color choice |
Faux Sheep 1.Black 2.Brown
3.Gold
|
Faux
Leopard Skin1.Blk/Brn/Crm
multi
|
Faux Butter Suede (fuzzy) 1.Black
2.Dark
Brown 3.Brown
4.Gold
(pale)
|
| Polar Fleece Horse Head Print 1.Gold
multi (more palominos) |
| Polar Fleece Tie Dye 1.Bright
multi (red, pink, yellow, blue, green, gold, purple) |
| Polar Fleece Solids 1.Charcoal
Gray 2.Royal
Blue 3.Purple 4.Dark
Pink 5.Barn
Red |
| Polar Fleece Camouflage Leaves 1.
Greens/browns/grays Polar Fleece Scroll 1. Black
2. Brown |
Special Instructions:
How did you find us? |
Sub Total |
$_________ |
| Wisconsin Sales Tax (Wisconsin residents only) |
5.5% |
$_________ |
| Shipping up to $60 |
$5.95 |
$_________ |
| Shipping $60 to $120 |
$7.95 |
$_________ |
| Shipping over $120 |
Free |
$_________ |
| Total Amount Due |
$_________ |
Credit Card Type (circle one): Visa, MC, AmEx,
Disc
Credit Card # __________-__________-__________-__________
Expiration Date__________ Security Code (3 digits on back)__________(or
4 digits on front by signature)______________
Name on Card
|
|