Name___________________________________________________________

Address_________________________________________________________

City___________________________State_______________Zip____________

Phone ()________________________________________________________

DIRECTIONS FOR ORDERING

Please include complete descriptions as listed on the price sheet and any of the
following that apply: belt size, gun caliber,barrel length, color, additional
belt loops, lined, unlined, laced or plain front, steel insert, toe plug,
and basket weaving.HOW TO MEASURE FOR A BELT

Quantity___________________Description____________________Price______

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SHIPPING & HANDLING_____________________

TOTAL_____________________

Method of payment: Check or Money Order (Please enclose with order)
Add $ 8.00 for shipping and handling (for continental USA only)
Foreign - call for price.