Beaded Belts Order Form

BEADED BELT ORDER FORM

ENTER YOUR CONTACT INFORMATION:

Your contact information is for internal use only; it will not be shared with any entity.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

ENTER BIOTHANE BELT DESCRIPTION:

Beaded Belt Type *

Beaded - 1" Biothane w side strips and beads

Belt Size (measurement from end of buckle to middle buckle hole) *

Belt Biothane Color *

Black Chestnut Brown Royal Blue Other (complete box below) (custom order)

Other Beta Biothane Color (optional) *

Side Strip Color *

Leather - Black Leather - Light Aqua Leather - Brown Leather - Tan Leather - Dark Brown Leather (matches brown Biothane) Leather - White Biothane - Black Biothane - Chestnut Biothane - Brown Biothane - Royal Blue Biothane - Bright Pink Other leather or Biothane side strip color (custom order, complete box below)

Other Side Strip Color (optional) *

Bead Color(s), Sizes and/or Descriptions (use info from the website) (NOTE: rhinestone beads not recommended) *

If you want more than one bead color, describe how you want them arranged (1+1+1 etc., 2+2+2 etc., other. (optional) *

Other Custom Requests (alternate colors, alternate sizes, etc.) *

ENTER OTHER ORDER INFORMATION:

Charity to receive your donation (select one) *

Frederick County 4-H Therapeutic Riding Program (FC4HTRP) Frederick Health Hurwitz Breast Cancer Fund Maryland Equine Transition Service (METS) (= Owner-2-Owner) Catoctin Chapter of PVDA

How will you pay for your brow band? *

Via check (made out to Leslie Raulin) Via PayPal Friends & Family - contact me for instructions Cash at a show or Blue Horse Farm (I do not have change)

Sorry, but I do not take credit cards (this is not a business) and I must receive payment before I make/mail your brow band.

How do you want to receive your brow band? *

Via snail mail (add $6.00 for P&H) Pick up in Jefferson, MD Pick up at a show where the brow bands are displayed

If you are ordering for a specific FC4HTRP horse or pony, enter the horse or pony name. *

YOUR COSTS:

1. Enter Your Beaded Belt Materials Cost ($50 for stock biothane colors, $55 for custom biothane colors, $60 for custom biothane and side strip colors) *

2. Enter Your Donation Amount ($40 minimum) *

Donations larger than $40 are appreciated.

3. Postage and Handling (enter $8.00 if belt will be mailed to you) (enter $0 if you will pick up your belt) *

Total Amount You Will Pay (enter total of 1-3) *

1. Complete the information above then click "Submit the Form" below to send your request to me (Leslie Raulin).

2. Provide payment via check, PayPal, or cash (no credit cards as this is not a business):

Check: Mail a check for the total amount, made out to Leslie Raulin, to:

                                Leslie Raulin
                                2027 Gapland Road
                                Jefferson, MD 21755

PayPal: Send the total amount via PayPal Friends and Family (contact me for instructions). Since this is not a commercial endeavor you must use PayPal "Friends and Family"
Cash: If you pay at Blue Horse Farm or a show where the brow bands are displayed. I do not have change.

I will then make your brow band, if needed, and mail it to you.

3. If you want to see / select / design / pick up your brow band in Jefferson, MD:

To see/select/design a brow band in Jefferson, MD: Email me at [email protected] to set up a day/time.
To pick up a brow band in Jefferson, MD: I will email you to let you know the brow band is ready, then I will place your completed brow band in a blue box on the white porch on my house porch - 2027 Gapland Road, Jefferson, MD 21755.

4. If you want to see / select / pick up your brow band at a FADS @ Blue Horse Farm or a show where the brow bands are displayed, just come to the show. Pay via check, cash (I do not have change), or PayPal.

5. I will send a check to the charity for the amount of your donation. I usually send the donations on a quarterly basis.

Your Comments and Requests (optional) *

How did you find out about Brow Bands for Charities? *

THANK YOU!

Submit the Form

Click here to return to the Brow Bands for Charities website. UNDER CONSTRUCTION

CONTACT US:

If you want to add your show to the FADS Show List, please see the INFORMATION FOR FARMS tab.
If you have a question about a specific show and/or want to volunteer at a specific show, please contact the show manager or show secretary directly (see SHOWS tab(s)).
For other inquiries, please email [email protected].

DISCLAIMER: FADS is not an organization or club and it has no money; it is simply a web site that lists casual dressage schooling shows in the Frederick, MD, area. All shows on the FADS Show List are the responsibility of the sponsoring farm / show manager / show secretary. Therefore, FADS, the FADS Webmaster, and the FADS Advisers are not liable for any aspect of any shows on the FADS Show List.

All show riders will be placed on the FADS Email List.

Webmare: Leslie Raulin - [email protected] Web Hosting by Weebly