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ORDER FORM:
Date Ordered:  ______________________________
 
Plaque Type/Price & Inscription:
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B
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D
E
F
G
(circle one only)
Inscription: _______________________________________________________
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Your Name:
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Address:
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Email Address:   __________________________________________________
 
Telephone:  ____________________________
Fax:           ___________________________________
 
Mail to:
LANGLEY HORSE FEDERATION
20120-8th Avenue
Langley, BC
V2Z 1V6
Phone: 604.534.7541