VIDEO ORDER FORM
Can be printed for your convenience

Check box:
 1-2 horse video $17.00  3-4 horse video $25.00  5-6 horse video $30.00
Shipping is included. Optional shipping: add $3.85 for priority mail or $15.00 for Federal Express.

1. Horses Name:___________________Gender:__________
2. Horses Name:___________________Gender:__________
3. Horses Name:___________________Gender:__________
4. Horses Name:___________________Gender:__________
5. Horses Name:___________________Gender:__________
6. Horses Name:___________________Gender:__________
Alternate horse(s) 1______________ 2______________if the ones you have chosen are sold or not available.
****DO NOT ORDER VIDEO OF HORSES THAT SAY NO VIDEO OR VIDEO PENDING*******

You will receive one video with all your selected horses on it.
Footage of the horses are videos provided by the sellers and are not all of professional quality.

Credit Cards accepted on-line ONLY with Paypal ( www.paypal.com )
Please pay to: equinedeisgn@wildblue.net
Personal Checks and Money Orders Accepted through mail. Checks can be made out to the business name.

U.S. Friesian Referral Service, 21512 Orr Springs Road, Ukiah, CA 95482 USA

Date___________Name______________________________
Address__________________________________________
Town/state/Zip___________________________________

Phone Number:_(_______)__________-____________E-mail______________________

Please Provide full contact information in case a horse you requested sells and I need your preference for an alternate.