Equerry's Inc., P.O. Box 296, Stayton, Oregon 97383
Phone: (503) 769-3041 <-> Fax: (503) 769-3077

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Order Request Form


In order to serve you more efficiently, please submit the following order
form. You will be contacted by an Equerry's representative at our earliest convenience.

If ordering, please do NOT include your Credit Card information as this will NOT
be secured. Please give us a phone number to call and the best time to call you
during business hours. We are located on the West coast, Pacific time.

Note: we are creating a real On-line Ordering system. Please be patient.

P.S. Hitting "Return" may submit the information prematurely.
Category.
 Content, to be filled in or selected.
1) Personal Name (required for any order):
2) Business Name (if any):
3) Your Address (fully required for an order):
    Street Address:
    City
    State
    Zip code:





4) Home phone:
5) Day Time phone (required for an order):
6) Cell phone:
7) E-mail address (required):
12) How did you hear
about our products?




When ordering, please list your items below:

When listing your items, please select one of the existing quantities (20lbs)
Then state how many of each that you wish to order ... ex: "two 20lb bags of Plus"





All information submitted by this inquiry will be kept in strict confidence.


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