Merchandise Order Form

Please tell us about yourself

First Name:		Last Name:
Address:			Apartment:
City:	State:		Zip Code:
Phone 1:		Phone 2:
E-Mail:

Place your order

Please check the box next to the item you are interested in and enter the quantity in the space provided.
All items are Total plus $4.95 Shipping and Handling.

	Description Of Item	Qty	Each	Total
	Dressage Days Calendar		$19.99

Check or money order payments.

Please make check/money order payable to:
Koffler-Stanfield Dressage Partners,
5301 Old Richmond Rd, Lexington, KY 40515