Proud Spirit Horse Sanctuary
Order Form
PRINT THIS PAGE THEN FILL OUT FORM
Make check or money order 
payable to:
 Melanie Bowles
P.O. Box 1242
Prineville, OR 97754
 (541) 447-8165

 
SHIP TO:
Name:______________________________________________________

 Address:___________________________________________________

 City:___________________ State:________ Zip:_______________

 Phone:_____________________________________________________
ITEM SIZE COLOR QTY PRICE TOTAL PRICE
Storm Dancer Poster N/A N/A N/A 20.00 -
T-Shirt Medium Tan  - 20.00 -
T-Shirt Medium Sage - 20.00 -
T-Shirt Large Tan - 20.00 -
T-Shirt Large Sage - 20.00 -
T-Shirt X-Large Tan - 20.00 -
T-Shirt X-Large Sage - 20.00 -
- - - - Sub Total -
- - - - Shipping 5.00
- - - - Amount Due -

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