Order Form



	301 Washington Street Plainville, MA 02762 508-643-2500

If you would like to purchase any of our items please print a copy on your local printer and fill in the form. Please sign and date the printed form and mail or fax it to us. We accept checks or money orders. Please do not send cash unless paying in-person. If you are paying by check or money order, please include your payment with the form when you mail the order to us.

Mail or Fax order to:

Plainridge Racecourse, 301 Washington St, Plainville, MA 02762

Fax: (508) 643-4487.

Phone: (508) 643-2500 ext 163

E-Mail: DMerrick@prcharness.com

Item Color				Qty	Size	Subtotal





Shipping and Handling Charge
TOTAL
Shipping & Handling Charges: or 2-Day Delivery add additional $10.00 to ground price. For Next Day Delivery add additional $12.00 to ground price. Canadian Residences add $5.00 (Duty and Tax may apply)			Up to $15 - $7.49 $15.01 to $30 - $8.49 $30.01 to $50 - $10.49 $50.01 to $99 - $12.49 $99.01 to $200 - $15.50 $200.01 over - $15.50 plus 3% of merchandise total
Name:
Street Address:
City:		State:
Zip Code:	Country
Telephone:
E-mail address:
Signature:







	Plainridge Racecourse 301 Washington Street, Plainville, MA 02762 508-643-2500