N.E.A. Sidesaddle Association

Date of Order __________________________

Ship to

Name _________________________________________________________

Address ________________________________________________________

City __________________________ State _______ Zip code_______________

Telephone ______________________________________________________

Shipping & Handling Charges

$1.00 - 10.00 add $ 1.95
$10.01 - 25.00 add $ 4.95
$25.01 - 50.00 add $ 5.95
$50.01 - 75.00 add $ 6.95

For oders over $75.00 and international orders, please e-mail us. (nea@sidesaddleinfo.com)

Please make Checks or Money Order payable to NEA Sidesaddle Association.

Print this order form, fill it out and mail it together with your payment to:

NEA Sidesaddle Association
P.O. Box 224
Thompson, CT 06277