GREAT NORTHERN ORDER FORM - Type in necessary fields, then print, or print, then fill out. To print, set resolution to 1024x768, right click on background, then select "print." Great Northern Livery Company, Inc., N1844 Greenville Drive, Greenville, WI Greenville, WI 54942 Phone: 920/757-5529 Email: livery@vbe.com

Horse Wraps	Quantity	Total
Large Horse Leg Wraps (draft size) - $25.00/set of 4
Medium Horse Leg Wraps (light horse size) - $23.50/set of 4
Small Horse Leg Wraps (pony size) - $21.75/set of 4
Shaft Wraps - $22.50 per pair
Spoke Wraps - $17.50 per pair
Velcro Attached SMV Sign for Horse Drawn Vehicles - $35.00 ea.
Pole Wrap - $22.50 ea.
People Wraps	-----------	-----------
Extra Large Arm or Leg Bands (lg. adult size) - $14.50 per pair
Large Arm or Leg Bands (adult size) - $13.00 per pair
Medium Arm or Leg Bands (sm. adult size) - $11.50 per pair
Small Arm or Leg Bands (adolescent size) - $10.75 per pair
Extra Small Arm or Leg Bands (child size) - $10.00 per pair
Adjustable Safety Belt - $19.50 ea.
Adjustable Hat Band - $9.00 ea.
VHS Tapes: Teach Your Horse to Drive tape set - $48.00 per set
Book: Wheels Across America - OUT OF PUBLICATION	-----------	-----------
Shipping and Tax	-----------	-----------
All WI orders add 5% sales tax	-----------
All domestic orders add $8.70 Priority shipping and handling	-----------
All Canadian orders add $19.20 shipping and handling	-----------
TOTALS

Name:
Address to ship to (include P.O. box #, apt. #, if any):
City:
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Email (optional):
Phone: