CUSTOMER NAME
ADDRESS
POSTCODE			TELEPHONE NO:
					DATE OF ORDER
CAPE/SADDLE	GRADE	BASE COLOUR	COLOUR	QUANTITY	PRICE	TOTAL
		(WHITE/GRIZZLE)	REQUIRED
					TOTAL
I ENCLOSE CHEQUE TO THE VALUE OF
OR
CREDIT CARD TYPE				CHEVRON HACKLES
NUMBER
EXPIRY DATE				Glebe Farm, Eggesford, Chulmleigh
NAME & INITIAL				Devon   EX18 7QU
SIGNATURE				TEL: O1769 581290