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."

Make checks payable to: Great Northern Livery Co., Inc.

Mail to: Great Northern Livery Company, Inc.
N1844 Greenville Drive
Greenville, WI Greenville, WI 54942

Phone: 920/757-5529
Email: livery1@liveryone.net

Item
Quantity     Total    
DVD: Teach Your Horse to Drive DVD - $52.00
--------------
----------------------
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:
State:
Zip:
Email (optional):
Phone: