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The Bedside Holster

Order Form

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Order Form
Please print and fill in the information requested
then send along with:
Cashiers Check or Money Order to:
Double R Leather
P.O. Box 487
Fernwood, Idaho 83830

     Name:                                                                                                

     Mailing Address:                                                                              

     City:                                               State:                   Zip:                 

     Phone Number: (          )                                                                   

     E-Mail Address:                                                                               

     Please Indicate: Right Handed               or Left Handed                

     How Many?                       ($19.95 each)

     Sub Total ---------------------------------------------------- $                       

     Idaho Residents Add 6% Tax ------------------------- $                       

     Shipping and Handling (inside USA) --------------- $         6.00      

     Shipping and Handling (outside USA) ------------- $                       

     Total Amount Inclosed ----------------------------------- $                      

Free Shipping and Handling when ordering two or more at a time inside the USA