#tack'r Order Form

#tack'r -- ORDER FORM

Name

Address

City, State & Zip

Phone

Work Phone

E-mail

Type of Credit Card

VISA MasterCard Discover AMEX

CC#

Exp Date/ Security Code

Signature _____________________________________________________________

#tack'r		#tack'r pins (500/unit)
PRICE --	$49.95	PRICE --	$ 8.95
SHIPPING --	$ 5.00
Order TOTAL --	$54.95	Order TOTAL --	$8.95 plus shipping

Mail completed form & check or money order made payable to: (Credit Cards Accepted)
TCB Horse Products
418 Middle Sound Loop Road
Wilmington, NC 28411