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Gaited Horse Subscription Form
Please print,complete, and mail this form to:
The Gaited
Horse
P.O. Box 3070
Deer Park, WA 99006
Phone: (509) 276-4930
Name: ___________________________________
Address: _________________________________
Country: _______________________
City: ________________ State _______ Zip Code: __________
Daytime Phone: ___________________
E-mail Address (optional): ___________________________
Please subscribe me for: (check one)
________ One Year
________ Two Years
(Washington
State residents must add 8% sales tax. $1.60 for a one-year subscription,
$21.55 total)
Payment Method: (check one)
_________ Visa _________ MasterCard
Cardholder
Name: __________________________________
Card
Billing Address: __________________________________________
State _____ Zip Code _______
Card Number ______________________________
Exp Date
(MM/YY) _____________
_________ Check enclosed
_________ Money order enclosed