Printable Fax Order Form

Name:  Ship To: (if different from billing address)
Farm:   
Address:   
City/State/Zip:   
Phone:  Days:Eves:Fax:
QuantityItem DescriptionPrice EachTotal
    
    
    
    
    
    
    
    
    
    
Make checks payable to:
Equine Products Inc.
2229 Mark Rd. Yorktown Heights, NY 10598

1-800-821-5363 (914) 962-4172 Fax: (914) 243-5822
Subtotal:  
Shipping/Handling:  
COD-add $6.00:  
NYS residents add State and Local tax 
TOTAL 
Credit Card Payment (existing customers only)
Card Type:
Master Card or Visa: 
Card #:  
Exp Date:  Signature