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Complete and Print this form and mail with payment to:

CC's Custom Stirrups
1445 N. Plainview Rd.
Seymour, TX 76380

* Make Checks Payable to: Charles Callison
* Credit Card Info: Please call us to process credit card payments

Projected Delivery Date: (From time of payment)

Stock Stirrups: 10 working days
Custom Stirrups: 3-4 weeks

Shipping:

1 Pair: $10.00
Each Additional Pair: $3.00


E-mail Address: *
Company *
Contact Name *
Address *
City *
State/Province *
Zip/Postal Code *
Phone *
Style *
Veneer *
Inlay *
Number of Inlays *
Conchos
Finish *
Number of Pairs *
Heel Bar
Concho
Check
Credit Card

Verification Code:
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* Required