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info@equinereflections.com
Toll Free: 888-547-6960
Fax: 978-597-8800
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Note:  This is not the shopping cart.  To view your online cart, click here.

To order by fax, please print
and complete this form and
fax your order to 978-597-8800

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A:  Ordered By B:  Shipping or Gift Address
Name:
   Name:  
Address:   Address:  
City, State
Zip:		   City, State
Zip:		  
Daytime
Phone:		   Telephone
Phone:		  
Evening
Phone:		   Message:  
Email
Address		   Special
Instructions:

 

  
Item # Product
Description		 Qty Color Size Gift
Wrap?		 Ship to
A or B		 Price
Each		 Total Price
                 
                 
                 
                 
                 
                 
                 
                 
                 
Shipping, Handling & Insurance:
(Contintental US only)		 Additional Charges: Merchandise Total:  
Gift Wrap $5/pkg  
Delivery Charge
(per address):		  
$0-$25.00
$25.01-$50.00
$50.01-$75.00
$75.01-$100.00
$100.01-$200.00
$200.01-$400.00
$400.01 or more		 $6.75
$7.50
$8.75
$10.75
$14.00
$18.00
$22.00
  • For overseas orders, please call for rates
  • For oversize items please call for rates
  • Rush Shipping, please add $20.00
  • These shipping rates apply if all items are shipped to one address only.  If shipping to more than one address, the rate applies for each address.
   Rush Shipping
(add $20.00)		  
MA Residents add
5% Sales Tax:		  
TOTAL:  
We can ship most items by express service.  For rush delivery within 2-3 days, add $20.00 to the basic delivery charges.

Payment method:   Please check one:  Mastercard    Visa

________________________________________________   Exp: _______________
Card Number

________________________________________________
Cardholder's Signature

Please fax your order to 978-597-8800.
Thank you!